Physiology, Maternal Hemodynamic Changes,
Dilutional Anemia, Hormonal Regulation of
hCG, Progesterone, Estrogen, Human
Placental Lactogen, Cortisol, Oxytocin, Fetal
Development Milestones, Biophysical Profile
Assessment, Amniotic Fluid Index, Placental
Abnormalities, Preeclampsia, Eclampsia,
HELLP Syndrome, Labor Stages, Vaginal and
Perineal Laceration Classification, Twin
Chorionicity, Gestational Diabetes
Management, and Postpartum Complications
Explained Questions Provided with Complete
A+ Graded Rationales Latest Updated 2026
Why do pregnant women get anemia?
due to the dilution effect - RBC rises 30%, but body volume rises 50%
what are the degrees of vaginal laceration?
First degree: skin
Second Decree: muscle
third degree: anus
Fourth Degree: rectum
What is vernix?
Cheesy baby skin. (Protects the baby's skin from the outside world and helps with passage
through the birth canal)
What is meconium?
First stool of baby
What is lochia?
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,Endometrial Slough. Normal discharge and uterus after birth.
What is normal blood loss during a vaginal delivery?
500ml
What is normal blood loss during a C-section?
1L
How do you treat A1 gestational diabetes?
Diet/exercise
Insulin
What are identical twins?
Eggs split into perfect halves "monochorionic"
What are fraternal twins?
Multiple eggs fertilized by different sperm
What is ovarian hyperstimulation syndrome?
Weight gain and enlarged ovaries after clomiphene is used for infertility. MOA: SERM- Estrogen
Receptor Antagonist.
Who makes the trophoblast?
Baby
Who makes the Cytotrophoblast?
Mom production of GnRH, CRH, TRH, and Inhibin
Who makes the Syncytiotrophoblast?
Mom and baby production of HCG and HPL
When does implantation occur?
One week after fertilization
When is beta HCG found in urine?
10 to 14 days after fertilization
When beta HCG found in blood?
8 to 10 days after fertilization
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, What makes progesterone in > 10 to 12 weeks gestation
Placenta
What is the function of beta HCG?
Maintains corpus luteum
Sensitizes TSH receptors to make body thyroid more active ( to raise BMR)
Basal metabolic rate
What makes beta HCG?
placenta
How fast should beta HCG rise?
Should double every two days until 10 weeks, stops when placenta is fully-formed
What is the function of Alpha fetoprotein?
Regulates fetal intravascular volume
Tells me about wall defects neural tube and omphalocele and gastroschisis
What is the function of human placental lactogen (HPL)?
Blocks insulin receptors so baby can get glucose
What is the function of inhibin?
Inhibits FSH so there's no menstruation
What is the function of cortisol in pregnancy?
Prevents immune rejection of baby and for lung maturation
What is the function of oxytocin?
Milk & baby ejection
What is the thyroid hormone levels during pregnancy?
Increased TBG (thyroid binding globulin)
-leads to increased total T4 - bound and free
When can you first detect fetal heart tones?
Week 20
When can you tell the sex of the baby by ultrasound?
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