4/6/25, 7:49 PN 3003 -- Maternity and Pediatrics |
AM
PN 3003 -- MATERNITY AND PEDIATRICS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Practice questions for this set
Learn 1/7 Study using Learn
A rare and severe form of depression that occurs in women just after giving birth and
includes delusional thinking and hallucinations
Select the correct term
1WBCs after delivery 2Gastrointestinal system after delivery
3LH in pregnancy 4Postpartum Psychosis
Don't know?
Terms in this set (155)
Possible Signs of Pregnancy Amenorrhea, N&V, fatigue, breast changes, frequent urination
4-12 weeks: presence of hCG in
blood 6-12 weeks: presence of
Probable Signs of Pregnancy
hCG in urine 8+ weeks: uterine
growth
16 weeks: Braxton Hicks
6+ weeks: Visually see fetus on ultrasound
20-24 weeks: Fetal heart sounds by fetal
Positive Signs of Pregnancy
stethoscope 22+ weeks: Fetal movements felt
by practitioner
Late Pregnancy: Fetal movements visible
Normal length of pregnancy 40 weeks
FSH in pregnancy Low levels due to high levels of estrogen and progesterone
hCG levels in pregnancy Peak in first trimester and then drop off
Estrogen levels in pregnancy Increase during pregnancy
Progesterone levels in pregnancy Increase during pregnancy
LH in pregnancy Low levels due to high levels of estrogen and progesterone
Prolactin in pregnancy Increases
Pituitary growth hormone in pregnancy Levels fall but overall serum levels increase due to placental production
Oxytocin levels in pregnancys Increase and peak at term
Production stimulated after first trimester (in healthy individuals not
TSH in pregnancy
normally significant)
1/
6
, 4/6/25, 7:49 PN 3003 -- Maternity and Pediatrics |
AM
Cortisol levels in pregnancy
A pregnant person can get diabetes when her pancreas cannot make
Gestational diabetes
enough insulin to keep their blood sugar levels within a target range.
Peripheral vasodilation, cardiac output increases, increased stroke
Cardiovascular changes in pregnancy
volume, may be third heart sound after mid pregnancy, systolic flow
murmurs are common
Tidal volume increases (increasing vital capacity and decreasing
Respiratory changes in pregnancy
residual volume), increased oxygen consumption, possible SOB
N&V, appetite increases, heartburn, constipation, gallbladder may
GI system changes in pregnancy
dilate and empty less completely
Renal blood flow increases. Possible glycosuria/proteinuria. Water
Urinary changes in pregnancy
retention increases. Residual urine increases. Risk for UTIs increases
Plasma volume increases. RBCs increase. Demand for iron increases.
Haematological changes in
pregnancy Clotting factors/fibrinogen increase. Serum albumin decreases.
Basal metabolic rate increases slowly. Active energy expenditure falls.
Metabolic changes in pregnancy
Weight gain (normal 11.4-15.9kg).
Hyperpigmentation of the umbilicus, nipples, abdominal midline (linea
nigra) and face (melasma (chloasma)) are common due to the
Skin changes in pregnancy hormonal changes of pregnancy. Hyperdynamic circulation and high
levels of estrogen may cause spider naevi and palmar erythema.
Striae gravidarum ('stretch marks') are common.
Increased ligamental laxity caused by increased levels of relaxin
Musculoskeletal changes in contribute to back pain and pubic symphysis dysfunction. Shift in
pregnancy posture with exaggerated lumbar lordosis leading to the typical
gait of late pregnancy.
Increased to about 5x its normal size(h: 30cm, w: 23cm, d: 20cm)
Uterine changes in pregnancy
primarily because of progesterone
Becomes more elastic towards the end of pregnancy. These changes
Vaginal changes in pregnancy
enable it to dilate during the second stage of labour, as the baby
passes down the birth canal.
Remains 2.5 cm long throughout pregnancy. In late pregnancy,
Cervical changes in pregnancy
softening of the cervix occurs in response to increasing painless
contractions of its muscular walls.
A technique of prenatal diagnosis in which amniotic fluid, obtained by
Amniocentesis aspiration from a needle inserted into the uterus, is analyzed to
detect certain genetic and congenital defects in the fetus.
Is weight monitored in pregnancy Normally no
Primagravida A person who is pregnant for the first time
Normal Weight Gain in Pregnancy ~2.0kg in first 20 weeks, then ~0.5kg per week until term at 40 weeks. Total of ~9-12
Prenatal infections that lead to severe abnormalities = most common
HEARING IMPAIRMENT & MR
Toxoplasmosis
TORCH Infections Other = syphilis, varicella, HIV, hep. B,
parvovirus Rubella
Cytomegalovirus
Herpes Simplex
Premature separation of the placenta from the wall of the uterus. Can
Abruptio Placenta
be partial, complete, or marginal
Sudden onset back and abdominal pain, vaginal bleeding (intermittent
S&S of Abruptio Placenta or concealed, uterine contractions (fast with no break between
contractions), uterine tenderness, abdominal firmness/rigidity
2/
6
AM
PN 3003 -- MATERNITY AND PEDIATRICS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Practice questions for this set
Learn 1/7 Study using Learn
A rare and severe form of depression that occurs in women just after giving birth and
includes delusional thinking and hallucinations
Select the correct term
1WBCs after delivery 2Gastrointestinal system after delivery
3LH in pregnancy 4Postpartum Psychosis
Don't know?
Terms in this set (155)
Possible Signs of Pregnancy Amenorrhea, N&V, fatigue, breast changes, frequent urination
4-12 weeks: presence of hCG in
blood 6-12 weeks: presence of
Probable Signs of Pregnancy
hCG in urine 8+ weeks: uterine
growth
16 weeks: Braxton Hicks
6+ weeks: Visually see fetus on ultrasound
20-24 weeks: Fetal heart sounds by fetal
Positive Signs of Pregnancy
stethoscope 22+ weeks: Fetal movements felt
by practitioner
Late Pregnancy: Fetal movements visible
Normal length of pregnancy 40 weeks
FSH in pregnancy Low levels due to high levels of estrogen and progesterone
hCG levels in pregnancy Peak in first trimester and then drop off
Estrogen levels in pregnancy Increase during pregnancy
Progesterone levels in pregnancy Increase during pregnancy
LH in pregnancy Low levels due to high levels of estrogen and progesterone
Prolactin in pregnancy Increases
Pituitary growth hormone in pregnancy Levels fall but overall serum levels increase due to placental production
Oxytocin levels in pregnancys Increase and peak at term
Production stimulated after first trimester (in healthy individuals not
TSH in pregnancy
normally significant)
1/
6
, 4/6/25, 7:49 PN 3003 -- Maternity and Pediatrics |
AM
Cortisol levels in pregnancy
A pregnant person can get diabetes when her pancreas cannot make
Gestational diabetes
enough insulin to keep their blood sugar levels within a target range.
Peripheral vasodilation, cardiac output increases, increased stroke
Cardiovascular changes in pregnancy
volume, may be third heart sound after mid pregnancy, systolic flow
murmurs are common
Tidal volume increases (increasing vital capacity and decreasing
Respiratory changes in pregnancy
residual volume), increased oxygen consumption, possible SOB
N&V, appetite increases, heartburn, constipation, gallbladder may
GI system changes in pregnancy
dilate and empty less completely
Renal blood flow increases. Possible glycosuria/proteinuria. Water
Urinary changes in pregnancy
retention increases. Residual urine increases. Risk for UTIs increases
Plasma volume increases. RBCs increase. Demand for iron increases.
Haematological changes in
pregnancy Clotting factors/fibrinogen increase. Serum albumin decreases.
Basal metabolic rate increases slowly. Active energy expenditure falls.
Metabolic changes in pregnancy
Weight gain (normal 11.4-15.9kg).
Hyperpigmentation of the umbilicus, nipples, abdominal midline (linea
nigra) and face (melasma (chloasma)) are common due to the
Skin changes in pregnancy hormonal changes of pregnancy. Hyperdynamic circulation and high
levels of estrogen may cause spider naevi and palmar erythema.
Striae gravidarum ('stretch marks') are common.
Increased ligamental laxity caused by increased levels of relaxin
Musculoskeletal changes in contribute to back pain and pubic symphysis dysfunction. Shift in
pregnancy posture with exaggerated lumbar lordosis leading to the typical
gait of late pregnancy.
Increased to about 5x its normal size(h: 30cm, w: 23cm, d: 20cm)
Uterine changes in pregnancy
primarily because of progesterone
Becomes more elastic towards the end of pregnancy. These changes
Vaginal changes in pregnancy
enable it to dilate during the second stage of labour, as the baby
passes down the birth canal.
Remains 2.5 cm long throughout pregnancy. In late pregnancy,
Cervical changes in pregnancy
softening of the cervix occurs in response to increasing painless
contractions of its muscular walls.
A technique of prenatal diagnosis in which amniotic fluid, obtained by
Amniocentesis aspiration from a needle inserted into the uterus, is analyzed to
detect certain genetic and congenital defects in the fetus.
Is weight monitored in pregnancy Normally no
Primagravida A person who is pregnant for the first time
Normal Weight Gain in Pregnancy ~2.0kg in first 20 weeks, then ~0.5kg per week until term at 40 weeks. Total of ~9-12
Prenatal infections that lead to severe abnormalities = most common
HEARING IMPAIRMENT & MR
Toxoplasmosis
TORCH Infections Other = syphilis, varicella, HIV, hep. B,
parvovirus Rubella
Cytomegalovirus
Herpes Simplex
Premature separation of the placenta from the wall of the uterus. Can
Abruptio Placenta
be partial, complete, or marginal
Sudden onset back and abdominal pain, vaginal bleeding (intermittent
S&S of Abruptio Placenta or concealed, uterine contractions (fast with no break between
contractions), uterine tenderness, abdominal firmness/rigidity
2/
6
