WHNP final Exam QUSTIONS AND WELL
DETAILED ANSWERS
Stroke volume in pregnancy - ANSWER>>increases 30%
Plasma volume in pregnancy - ANSWER>>increases 50%
Cause of most anemias
Heart rate in pregnancy - ANSWER>>increases 15-25%
20bpm
systemic vascular resistance in pregnancy - ANSWER>>decreases 20%
Systolic BP in pregnancy - ANSWER>>decreases
5-10mmHG
Diastolic BP in pregnancy - ANSWER>>decreases 20%
10-15mmHg
Central Venous Pressure in pregnancy - ANSWER>>no change
Femoral venous pressure in pregnancy - ANSWER>>increases 2-3x
Which type of murmur is okay during pregnancy? - ANSWER>>systolic ejection
murmur
In what position is cardiac output the highest? - ANSWER>>left lateral
In what position is cardiac output the lowest? - ANSWER>>supine
Tidal volume in pregnancy - ANSWER>>increases 30-40%
Minute ventilation in pregnancy - ANSWER>>increases 40%
,Residual volume in pregnancy - ANSWER>>decreases 20%
PaCO2 in pregnancy - ANSWER>>decreases 25%
Oxygen consumption in pregnancy - ANSWER>>increases 20-33%
Arterial blood gas state in pregnancy - ANSWER>>respiratory alkalosis
compensation for arterial blood gas in pregnancy - ANSWER>>increased renal
bicarbonate excretion
What is progesterones role in the pulmonary system? - ANSWER>>dilates smooth
muscle in the airway
What is estrogens role in the pulmonary system? - ANSWER>>tissue edema and
hyperplasia of mucus glans
Respiratory pattern in pregnancy - ANSWER>>dyspnea
Lightening - ANSWER>>When the babies head drops into the pelvis
When does lightening occur? - ANSWER>>36-38wks
Side effect of lightening - ANSWER>>increases urinary urgency and frequency
RBC volume in pregnancy - ANSWER>>increases 20-30%
Hematocrit level in pregnancy - ANSWER>>decreases
WBC count in pregnancy - ANSWER>>increases slightly
Due to neutrophils
ESR in pregnancy - ANSWER>>increases
Coagulation factors in pregnancy - ANSWER>>increases
Coagulability in pregnancy - ANSWER>>increases
, Platelet count in pregnancy - ANSWER>>Slight decrease
What is the most common type of anemia in pregnancy? - ANSWER>>iron
deficiency anemia
What two supplements are needed to help support hematology in pregnancy? -
ANSWER>>iron and folate
Kidney size in pregnancy - ANSWER>>increases 100%
ureteral diameter in pregnancy - ANSWER>>increases
GFR in pregnancy - ANSWER>>increases 50%
BUN, CR, and uric acid in pregnancy - ANSWER>>decreases 25%
Plasma Na in pregnancy - ANSWER>>unchanged
Plasma HCO3 in pregnancy - ANSWER>>decreased 25%
Blood pH in pregnancy - ANSWER>>increases
7.4-7.44
Urine glucose in pregnancy - ANSWER>>increased
Pregnant women are more at risk for what urinary diseases? - ANSWER>>UTI and
pyelonephritis
Estrogen in pregnancy - ANSWER>>increases
Progesterone in pregnancy - ANSWER>>increases
Pituitary size in pregnancy - ANSWER>>increases 100%
Adrenal size in pregnancy - ANSWER>>unchanged
DETAILED ANSWERS
Stroke volume in pregnancy - ANSWER>>increases 30%
Plasma volume in pregnancy - ANSWER>>increases 50%
Cause of most anemias
Heart rate in pregnancy - ANSWER>>increases 15-25%
20bpm
systemic vascular resistance in pregnancy - ANSWER>>decreases 20%
Systolic BP in pregnancy - ANSWER>>decreases
5-10mmHG
Diastolic BP in pregnancy - ANSWER>>decreases 20%
10-15mmHg
Central Venous Pressure in pregnancy - ANSWER>>no change
Femoral venous pressure in pregnancy - ANSWER>>increases 2-3x
Which type of murmur is okay during pregnancy? - ANSWER>>systolic ejection
murmur
In what position is cardiac output the highest? - ANSWER>>left lateral
In what position is cardiac output the lowest? - ANSWER>>supine
Tidal volume in pregnancy - ANSWER>>increases 30-40%
Minute ventilation in pregnancy - ANSWER>>increases 40%
,Residual volume in pregnancy - ANSWER>>decreases 20%
PaCO2 in pregnancy - ANSWER>>decreases 25%
Oxygen consumption in pregnancy - ANSWER>>increases 20-33%
Arterial blood gas state in pregnancy - ANSWER>>respiratory alkalosis
compensation for arterial blood gas in pregnancy - ANSWER>>increased renal
bicarbonate excretion
What is progesterones role in the pulmonary system? - ANSWER>>dilates smooth
muscle in the airway
What is estrogens role in the pulmonary system? - ANSWER>>tissue edema and
hyperplasia of mucus glans
Respiratory pattern in pregnancy - ANSWER>>dyspnea
Lightening - ANSWER>>When the babies head drops into the pelvis
When does lightening occur? - ANSWER>>36-38wks
Side effect of lightening - ANSWER>>increases urinary urgency and frequency
RBC volume in pregnancy - ANSWER>>increases 20-30%
Hematocrit level in pregnancy - ANSWER>>decreases
WBC count in pregnancy - ANSWER>>increases slightly
Due to neutrophils
ESR in pregnancy - ANSWER>>increases
Coagulation factors in pregnancy - ANSWER>>increases
Coagulability in pregnancy - ANSWER>>increases
, Platelet count in pregnancy - ANSWER>>Slight decrease
What is the most common type of anemia in pregnancy? - ANSWER>>iron
deficiency anemia
What two supplements are needed to help support hematology in pregnancy? -
ANSWER>>iron and folate
Kidney size in pregnancy - ANSWER>>increases 100%
ureteral diameter in pregnancy - ANSWER>>increases
GFR in pregnancy - ANSWER>>increases 50%
BUN, CR, and uric acid in pregnancy - ANSWER>>decreases 25%
Plasma Na in pregnancy - ANSWER>>unchanged
Plasma HCO3 in pregnancy - ANSWER>>decreased 25%
Blood pH in pregnancy - ANSWER>>increases
7.4-7.44
Urine glucose in pregnancy - ANSWER>>increased
Pregnant women are more at risk for what urinary diseases? - ANSWER>>UTI and
pyelonephritis
Estrogen in pregnancy - ANSWER>>increases
Progesterone in pregnancy - ANSWER>>increases
Pituitary size in pregnancy - ANSWER>>increases 100%
Adrenal size in pregnancy - ANSWER>>unchanged
