UNRS 402: Quiz #2 UPDATED ACTUAL Questions and
CORRECT Answers
What are the body changes during pregnancy in the gains weight to 1100-1200 g and a capacity of 5L, muscles grows in length and
uterus? width
What causes the uterus to grow in pregnancy? hyperplasia (estrogen and growth factors) and hypertrophy (muscle fibers
stretch in all directions)
How long is each trimester? 13 weeks
Where can you palpate the fundus at 12 weeks? symphysis pubis
Where can you palpate the fundus at 16 weeks? midway between the symphysis pubis and the umbilicus
Where can you palpate the fundus at 20 weeks? umbilicus
Where can you palpate the fundus at 36 weeks? xiphoid process
What is lightening? the descent of the fetal head into the pelvis to make breathing easier for the
mom
What are Braxton Hicks? irregular contractions when the uterus tightens and releases often called false
labor because they are mistaken as labor
How much blood is going to the uterus and placenta 750 mL per minute
during late pregnancy?
How does the cervix change during pregnancy? water content and vascularity increase
What is hyperemia and what does it affect? caused by increasing levels of estrogen. causes the cervix to turn a bluish
purple color
Describe Chadwick's sign bluish purple color that goes from the cervix and extends to the vagina and the
labia
Describe Goodell's sign when the cervix softens after conception
What is the mucous plug? the cervical glands proliferate and glandular walls become thin and the
cervical tissue creates a honeycomb that fills with mucus that has
immunoglobins to protect the uterus from infection
What causes vaginal discharge? glycogen in vaginal cells
What is the pH of discharge and what makes it that acidic 3.5-6 because of lactic acid that acts on the glycogen
way?
Why is the vagina acidic? prevents growth of harmful bacteria
Why would yeast infections be common in pregnancy? due to the glycogen attracting candida albicans
, What is the most important hormone in pregnancy? progesterone
How is progesterone secreted during pregnancy? first 6-7 weeks is from the corpus luteum and then lowers when the placenta
takes over
What are the changes that the breasts undergo due to estrogen stimulates growth of mammary ductal tissue and progesterone
hormones during pregnancy? promotes the growth of lobes, lobules, and alveoli.
What are the physical changes of the breasts during networks of veins, may increase in size and develop striations, nipples increase
pregnancy? in size and become darker as well as the areolas
What is colostrum? a thick yellowish fluid that may become present from the breasts within the first
few months
What can change in the cardiovascular system during heart size and position and heart sounds
pregnancy?
What happens to the heart size and position during the muscles enlarge and the heart is pushed up and to the left
pregnancy?
What heart sounds are common during pregnancy? splitting of the first heart sound and a systolic murmur or a third heart sound
What happens to blood volume during pregnancy? increases to 30-45% starting by 6 weeks
How much greater is the blood plasma in pregnant 40-60% (1200-1600 mL)
women than nonpregnant?
Why is there a need to increase blood plasma? transport nutrients and oxygen to the placenta to go to the fetus, meets the
demands of expanded tissue in the uterus and breasts, and provide a reserve
to protect the pregnant client from the adverse effects of blood loss during
childbirth
How much does your RBC count increase by in about 20% to 30%
pregnancy?
What is physiologic anemia of pregnancy? when the dilution of RBC mass causes a decline in hemoglobin and hematocrit
but is not true anemia because it is only due to increase plasma
What is considered anemia in pregnancy? hemoglobin less than 11 in first and third trimesters and less than 10.5 in the
second
How much does the cardiac output increase during 30-50% beginning in the first 8 weeks
pregnancy?
What does an increased cardiac output cause in the increased stroke volume and heart rate
heart?
What happens to the systemic vascular resistance it falls
during pregnancy?
CORRECT Answers
What are the body changes during pregnancy in the gains weight to 1100-1200 g and a capacity of 5L, muscles grows in length and
uterus? width
What causes the uterus to grow in pregnancy? hyperplasia (estrogen and growth factors) and hypertrophy (muscle fibers
stretch in all directions)
How long is each trimester? 13 weeks
Where can you palpate the fundus at 12 weeks? symphysis pubis
Where can you palpate the fundus at 16 weeks? midway between the symphysis pubis and the umbilicus
Where can you palpate the fundus at 20 weeks? umbilicus
Where can you palpate the fundus at 36 weeks? xiphoid process
What is lightening? the descent of the fetal head into the pelvis to make breathing easier for the
mom
What are Braxton Hicks? irregular contractions when the uterus tightens and releases often called false
labor because they are mistaken as labor
How much blood is going to the uterus and placenta 750 mL per minute
during late pregnancy?
How does the cervix change during pregnancy? water content and vascularity increase
What is hyperemia and what does it affect? caused by increasing levels of estrogen. causes the cervix to turn a bluish
purple color
Describe Chadwick's sign bluish purple color that goes from the cervix and extends to the vagina and the
labia
Describe Goodell's sign when the cervix softens after conception
What is the mucous plug? the cervical glands proliferate and glandular walls become thin and the
cervical tissue creates a honeycomb that fills with mucus that has
immunoglobins to protect the uterus from infection
What causes vaginal discharge? glycogen in vaginal cells
What is the pH of discharge and what makes it that acidic 3.5-6 because of lactic acid that acts on the glycogen
way?
Why is the vagina acidic? prevents growth of harmful bacteria
Why would yeast infections be common in pregnancy? due to the glycogen attracting candida albicans
, What is the most important hormone in pregnancy? progesterone
How is progesterone secreted during pregnancy? first 6-7 weeks is from the corpus luteum and then lowers when the placenta
takes over
What are the changes that the breasts undergo due to estrogen stimulates growth of mammary ductal tissue and progesterone
hormones during pregnancy? promotes the growth of lobes, lobules, and alveoli.
What are the physical changes of the breasts during networks of veins, may increase in size and develop striations, nipples increase
pregnancy? in size and become darker as well as the areolas
What is colostrum? a thick yellowish fluid that may become present from the breasts within the first
few months
What can change in the cardiovascular system during heart size and position and heart sounds
pregnancy?
What happens to the heart size and position during the muscles enlarge and the heart is pushed up and to the left
pregnancy?
What heart sounds are common during pregnancy? splitting of the first heart sound and a systolic murmur or a third heart sound
What happens to blood volume during pregnancy? increases to 30-45% starting by 6 weeks
How much greater is the blood plasma in pregnant 40-60% (1200-1600 mL)
women than nonpregnant?
Why is there a need to increase blood plasma? transport nutrients and oxygen to the placenta to go to the fetus, meets the
demands of expanded tissue in the uterus and breasts, and provide a reserve
to protect the pregnant client from the adverse effects of blood loss during
childbirth
How much does your RBC count increase by in about 20% to 30%
pregnancy?
What is physiologic anemia of pregnancy? when the dilution of RBC mass causes a decline in hemoglobin and hematocrit
but is not true anemia because it is only due to increase plasma
What is considered anemia in pregnancy? hemoglobin less than 11 in first and third trimesters and less than 10.5 in the
second
How much does the cardiac output increase during 30-50% beginning in the first 8 weeks
pregnancy?
What does an increased cardiac output cause in the increased stroke volume and heart rate
heart?
What happens to the systemic vascular resistance it falls
during pregnancy?
