1. Maternal Physiologic Adaptations
Providence Clinical Academy

2. Trivia!

3. Please select a Team.
Team 1
Team 2
Team 3
Team 4
Team 5

4. Trivia Scores 200 400 600 800 1000 Hormones & Metabolic
Reproductive
Hormones & Metabolic
CV & Respiratory
GI & Renal
Physical Changes
200
400
600
800
1000
Scores

5. The amount of blood flow to the uterus is ___% of maternal CO
Reproductive 200 Points
The amount of blood flow to the uterus is ___% of maternal CO

6. The amount of blood flow to the uterus is ___% of maternal CO
What is 5 %
What is 10 %
What is 40 %
What is 20 %
Category Selection

7. The placenta is fully functioning at ___ weeks gestation
Reproductive 400 Points
The placenta is fully functioning at ___ weeks gestation

8. The placenta is fully functioning at ___ weeks gestation
What is 16 weeks
What is 12 weeks
What is 6 weeks
What is 3 weeks
Category Selection

9. Reproductive 600 Points
The ___ facilitates transportation of fuel sources, gases, and waste products

10. Yolk sac Fetal kidneys Placenta Uterus
The ___ facilitates transportation of fuel sources, gases, and waste products
Yolk sac
Fetal kidneys
Placenta
Uterus
Category Selection

11. This prevents bacteria from entering the uterus
Reproductive 800 Points
This prevents bacteria from entering the uterus

12. Answer
Vagina
Labia
Antibiotics
Mucous plug
Category Selection

13. Amniotic fluid is composed of these things
Reproductive 1000 Points
Amniotic fluid is composed of these things

14. Amniotic fluid is composed of these things
Electrolytes, glucose, hormones, & fetal cells
Water, electrolytes, & fetal cells
Kool-aid
Fetal urine
Category Selection

15. Hormones & Metabolic 200 Points
A normal finding during pregnancy is

16. A normal finding during pregnancy is
Glycosuria
Hematuria
Proteinuria
Weight loss
Category Selection

17. Hormones & Metabolic 400 Points
A metabolic change characteristic of late pregnancy is decreased

18. A metabolic change characteristic of late pregnancy is decreased
Blood free fatty acids
Insulin sensitivity
Serum Glucose level after meals
Glucosuria
Category Selection

19. Daily
Double

20. What percentage of your current points would you like to wager on the next question?
100%

21. Hormones & Metabolic Daily Double
Metabolic changes are characterized by ___ during the first half of pregnancy and ___ during the second half

22. Increased serum glucose; Decreased serum glucose Anabolism; Catabolism
Metabolic changes are characterized by ___ during the first half of pregnancy and ___ during the second half
Increased serum glucose; Decreased serum glucose
Anabolism; Catabolism
PaO2 decreases; PaCO2 increases
Weight gain; Weight loss
Category Selection

23. Hormones & Metabolic 800 Points
These hormones are critical for fetal brain development, neurogenesis, and organization

24. These hormones are critical for fetal brain development, neurogenesis, and organization
Glucose
Insulin
Thyroid
Reproductive
Category Selection

25. Hormones & Metabolic 1000 Points
Oxytocin is produced in this gland

26. Oxytocin is produced in this gland
Thyroid
Posterior pituitary
Anterior pituitary
Parathyroid
Category Selection

27. CV & Respiratory 200 Points
The percentage of increase in blood volume during pregnancy

28. The percentage of increase in blood volume during pregnancy
5-10%
10-30%
30-40%
30-50%
Category Selection

29. CV & Respiratory 400 Points
Cardiac output is greatest during this period of the birth process.

30. Cardiac output is greatest during this period of the birth process.
Immediately after birth
At birth
1st stage – active phase
2nd stage
Category Selection

31. CV & Respiratory 600 Points
This is a physical finding that may occur during pregnancy in response to normal CV changes

32. Decreased HR Dependent edema Elevated BP Flushing
This is a physical finding that may occur during pregnancy in response to normal CV changes
Decreased HR
Dependent edema
Elevated BP
Flushing
Category Selection

33. CV & Respiratory 800 Points
This reflects changes to PaO2 and PaCO2 during pregnancy.

34. This reflects changes to PaO2 and PaCO2 during pregnancy.
Both increase
Both decrease
PaO2 increases; PaCO2 decreases
PaCO2 increases; PaO2 decreases
Category Selection

35. CV & Respiratory 1000 Points
This is the only increasing change in lung volume during pregnancy

36. This is the only increasing change in lung volume during pregnancy
Expiratory reserve volume (ERV)
Residual volume (RV)
Functional residual capacity (FRC)
Tidal volume (VT)
Category Selection

37. This leads to an increased incidence of gastric reflux in pregnancy
GI & Renal 200 Points
This leads to an increased incidence of gastric reflux in pregnancy

38. This leads to an increased incidence of gastric reflux in pregnancy
Increased smooth muscle tone
Relaxation of the lower esophageal sphincter
Decreased progesterone
Increased gastric motility
Category Selection

39. This is a product of increase renal perfusion and GFR
GI & Renal 400 Points
This is a product of increase renal perfusion and GFR

40. This is a product of increase renal perfusion and GFR
Glycosuria
Hematuria
Leukorrhea
Nocturia
Category Selection

41. GI & Renal 600 Points
This is the average recommended weight gain for normal BMI pre-pregnancy

42. This is the average recommended weight gain for normal BMI pre-pregnancy
5-10 lbs
10-15 lbs
25-35 lbs
35-45 lbs
Category Selection

43. Normal protein urine dip results for pregnancy
GI & Renal 800 Points
Normal protein urine dip results for pregnancy 43

44. Normal protein urine dip results for pregnancy
Trace 1+ 2+ 3+
Category Selection

45. GI & Renal Points
This is a commonly reported GI symptom of pregnancy related to decreased gastric motility 45

46. Hyperemesis gravidarum Diarrhea Round ligament pain Constipation
This is a commonly reported GI symptom of pregnancy related to decreased gastric motility
Hyperemesis gravidarum
Diarrhea
Round ligament pain
Constipation
Category Selection

47. Physical Changes 200 Points
This may be a reason why the uterus is measuring greater than gestational age 47

48. Small for gestational age
This may be a reason why the uterus is measuring greater than gestational age
Oligohydramnios
Multiple pregnancy
Maternal habitus
Small for gestational age
Category Selection

49. Physical Changes 400 Points
This is a common benign skin variation associated with pregnancy 49

50. This is a common benign skin variation associated with pregnancy
Melasma
PUPPPS
Eczema
Petechiae
Category Selection

51. Physical Changes 600 Points
This a common change in breasts during pregnancy

52. This a common change in breasts during pregnancy
Nipple inversion
Hard, non-tender lump
Darkening of the areola
Decrease in size
Category Selection

53. Daily
Double

54. What percentage of your current points would you like to wager on the next question?
100%

55. Physical Changes Daily Double
The bluish tinge to the cervix that occurs during pregnancy

56. The bluish tinge to the cervix that occurs during pregnancy
Nagal’s sign
Braxton-Hick’s sign
Lambda’s sign
Chadwick’s sign
Category Selection

57. Physical Changes 1000 Points
A commonly reported neurological symptom related to physical changes in the gravid uterus

58. Paresthesias in the lower extremities Headaches
A commonly reported neurological symptom related to physical changes in the gravid uterus
Dizziness
Paresthesias in the lower extremities
Headaches
Paresthesias in the upper extremities
Category Selection

59. Team Scores
600
Team 1
500
Team 2
400
Team 3
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