Pregnancy MCN 1

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  1. Match CNS role:

    1. Gonadotropin releasing hormone
    2. Anterior Pituitary 
    3. Ovaries

    a. FSH and LH
    b. Gonadotropin releasing hormone
    c. Estrogen and Progesterone
    • 1. b
    • 2. a
    • 3. c
  2. This hormone is produced in the ovaries which stimulates and prepares the body for conception. 

    A. Gonadotropin
    B. Progesterone
    C. FSH and LH
    B.
    (this multiple choice question has been scrambled)
  3. This hormone is released by the pituitary gland that causes a new egg to mature and released from its ovarian follicle each month

    A. Gonadotropin
    B. Progesterone
    C. FSH and LH
    C.
    (this multiple choice question has been scrambled)
  4. As the egg migrates down the fallopian tube, this hormone is released to prepare the body for pregnancy causing the uterine lining to thicken. 

    A. Estrogen
    B. LH
    C. Progesterone
    C.
    (this multiple choice question has been scrambled)
  5. This reproductive hormone is produced bby the pituitary gland and stimulates the development of the maturing ovarian follicle, and controls ovum production in the female. 

    A. FSH
    B. Oestrogen
    C. LH
    A.
    (this multiple choice question has been scrambled)
  6. This reproductive hormone is produced by the pituitary gland and stimulates the ovaries to produce two other hormones to trigger ovulation. 

    A. Oestrogen
    B. LH
    C. FSH
    B.
    (this multiple choice question has been scrambled)
  7. This reproductive hormone pis produced by the ovaries (non preg) and by the placenta. It promotes the maturation and release of an ovum in every menstrual cyle

    A. Oestrogen
    B. FSH
    C. LH
    A.
    (this multiple choice question has been scrambled)
  8. This reproductive hormone is produced by the corpus luteum in the ovary. It prepares the endometrium for the reception and development of the fertilized ovum.

    A. Oestrogen
    B. LSH
    C. Progesterone
    C.
    (this multiple choice question has been scrambled)
  9. Fill in:

    __a__ stimulates the production of breast milk and is necessary for normal milk production during breastfeeding.

    __b__ is responsible for stimulation of milk ejection (milk letdown) and for stimulation of uterine smooth muscle contraction at birth.
    • a. Prolactin
    • b. Oxytocin
  10. This term refers to agents/factors that produce major/minor defects to a woman's pregnancy
    Teratogen
  11. What does TORCH stand for when dealing with Teratogens?
    • Toxoplasmosis
    • Other (syphilis)
    • Rubella
    • Cytonegalovirus
    • Herpes
  12. In the placenta, there are finger-like projections called chorionic villi. What do they secrete that suggest a woman's pregnant?
    hCG
  13. T or F: the Maternal side of the Placenta is the "red and fleshy side" or "dirty duncan"
    True
  14. T or F: the Fetal side of the Placenta is the "red and fleshy" or "dirty duncan"
    False: it is the "shiny side" or "shiny schultz"
  15. What are some factors that prohibit effective nutrient transfer in the placenta?
    • Pre-eclampsia
    • smoking
    • Calcification
  16. This term is a condition during pregnancy characterized by HTN, sometimes with fluid retention and proteinuria
    Preeclampsia
  17. What is the purpose of Wharton's Jelly?
    It protects the umbilical arteries and vein. Once exposed to cooler temperatures outside of the womb, it collapses the venous structures clamping them shut.
  18. What does the amniotic fluid do for the fetus? What could low fluid indicate?
    • Protection (shock absorber)
    • Temp. regulator
    • allows free movement
    • Prevents adherence of skin to amnion

    Low fluid: issues with GI, kidneys, nervous system
  19. What is the fluid range for amniotic fluid?
    500 - 1000mL
  20. In what weeks in the first trimester can the fetal heart tones be heard?
    9-12th weeks
  21. What is the HR range of the fetus?
    110-160
  22. T or F: fetal movement can start from 16-24 weeks
    False: 16-18 weeks. Fetal movement MUST be felt at 20 weeks
  23. What diagnostic will be ordered if there is an abnormal sound in the fetal heart?
    Ultrasound
  24. What should the CM be with a mother 20 weeks pregnant?
    20 cm
  25. This endocrine hormone supports the growing uterus and breasts:

    A. progesterone
    B. HPL
    C. estrogen
    C.
    (this multiple choice question has been scrambled)
  26. This endocrine hormone supports the endometrium:

    A. HPL
    B. estrogen
    C. progesterone
    C.
    (this multiple choice question has been scrambled)
  27. What adrenal changes will you see during pregnancy? What will increase?
    Increase aldosterone for sodium reabsorption and increased cortisol
  28. How much will blood flow increase during pregnancy?
    How will blood volume and WBC increase?
    • an increase in 15-20ml/min
    • to 500-750ml/min
    • blood volume 50% above normal, WBC to 15k to 20k postpartum
  29. How much will cardiac output increase during pregnancy? How will this effect BP?
    • increase by 30-50%
    • Pulse increase 10-15/min
    • BP lowers
  30. T or F: BP is highest when sitting and lowest when on left side
    true
  31. What can happen to BP if lying supine?
    Hypotension syndrome
  32. T or F: there will be a 20-30% increase in demand for O2 during pregnancy
    true
  33. What causes glycouria during pregnancy?
    It is d/t high filtration and lactose production
  34. Does bladder capacity increase or decrease during pregnancy?
    decrease
  35. What is recommended to take to prevent neural tube defect?
    Folic acid
  36. What s Linea nigra?
    dark line in the middle of the stomach
  37. What is chloasma?
    "mask of pregnancy"
  38. How will corticosteroid levels be affected during pregnancy?
    they will be suppressed to decrease possible rejection of fetus
  39. T or F: Na+ levels decreases in the body during pregnancy
    false: increases to maintain body fluid volumes
  40. T or F: Insulin production is decreased during pregnancy
    True
  41. What happens to insulin absorption during the second trimester? What do you have to check?
    Mom becomes insulin resistant: check BG levels
  42. If BG levels are <140 or >180, what could this mean?
    Gestational diabetes
  43. What is adequate criteria for kick counts?
    10 kicks in 2 hours
  44. List danger signs to report
    • vaginal bleeding
    • leaking of fluid
    • Persistent h/a, blurred vision
    • foul smelling vaginal discharge
  45. This lab test is checked at 16-18 weeks to check for potential problems with the baby, including spina bifida:

    A. AFP
    B. H/H
    C. RhoGam
    A.
    (this multiple choice question has been scrambled)
  46. When do you want to check for H/H? 

    A. 24-28 weeks
    B. 24 weeks
    C. 16-18 weeks
    B.
    (this multiple choice question has been scrambled)
  47. When do you want to check for Blood glucose levels?


    A. 24 weeks
    B. 16-18 weeks
    C. 24-28 weeks
    C.
    (this multiple choice question has been scrambled)
  48. What is RhoGam used for?
    Used if the mother is Rh negative
  49. List how many times a mother should visit in each:

    a. 28 weeks
    b. 28-36 weeks
    c. Last month
    • a. once per month
    • b. every 2 weeks
    • c. Every week

Card Set Information

Author:
edeleon
ID:
333702
Filename:
Pregnancy MCN 1
Updated:
2017-08-27 03:37:03
Tags:
semester
Folders:
MCN Exam 1
Description:
Lecture notes
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