Uncomplicated Pregnancy (Pearls) (Smarty PANCE) (Latest 2023 / 2024) Actual Questions and Answers 100% Correct
- What presents with amenorrhea, N/V, breast changes, basal body temperature changes, and
skin changes?
Answer: Pregnancy
- What is the definition of a "term" pregnancy?
Answer: A pregnancy that lasts 37 to 42 weeks is called a "term" pregnancy. When labor starts before 37 weeks, doctors call it "preterm" labor.
- When can Braxton Hicks contractions start occurring?
Answer: 28 weeks plus "False labor" (also sometimes referred to as "Braxton-Hicks contractions") is defined as regular or irregular painful contractions that are not associated with cervical dilation.
- When is an US performed in pregnancy?
Answer: 5-6 weeks
- What produces b-hcg in pregnancy?
Answer: The placenta as well as all types of trophoblastic tissue
- How often does b-hcg double?
Answer: In the first four weeks of a viable pregnancy, hCG levels will typically double about every two to three days. After six weeks, the levels will double about every 96 hours.
- When can b-hcg be detected in serum?
Answer: 8-11 days after conception
- When does b-hcg peak?
Answer: 10-12 weeks
- When can b-hcg be high?
Answer: Twins and trophoblastic dz
- When does b-hcg decrease in pregnancy?
Answer: 2nd-3rd trimester
- when is b-hcg low?
Answer: Threatened or missed abortion
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- What is Naegele's rule?
Answer: EDC = LMP + 7 days - 3 mos + 1 yr
- When is the uterus palpable?
Answer: At approximately 12 weeks gestation the uterus becomes large enough to be palpable just above the pubic symphysis. At 16 weeks gestation, the fundus of the uterus can be palpated at the midpoint between the umbilicus and the pubic symphysis.
- How many extra calories should a pregnant woman eat a day? When breastfeeding?
Answer:
300 extra calories while pregnant 500 extra calories while breastfeeding
- What causes weight gain in pregnancy?
Answer:
Uterus Uterine contents - fetus and placenta Increase in blood volume Extracellular fluid
- What is the average amount of extra water retained?
Answer: 6.5 L (3.5L in uterus & 3.0L blood volume and breasts)
- What is the average weight gain in pregnancy?
Answer: 27.5 lbs (25-35 lbs) Recommended weight gain is based on pre-pregnancy weight: Underweight BMI less than 18.5 28-40 pounds Normal Weight BMI 18.5-24.9 25-35 pounds
Overweight BMI 25.0-29.9 15-25 pounds Obese BMI greater than or equal to 30.0 11- 20 pounds
- What is the non-pregnant normal caloric intake?
Answer: 2,300 kcal/day
- What is the pregnant caloric intake?
Answer: 2,600 kcal/day
- What is the breastfeeding caloric intake?
Answer: 500 kcal /day (2800 kcal day)
- How much does the baby usually weigh in pregnancy?
Answer: 3,500 g (7.71 lbs)
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- How much does the placenta, amniotic fluid and uterus weigh in. pregnancy?
Answer: 900 g (1.98 lbs)
- How much does the blood volume and interstitial fluid weigh in pregancy?-
Answer: 1200 g (2.6 lbs)
- How much does breast enlargement account for in pregnancy?
Answer: 400 g (0.88 lbs)
- How much does maternal fat weigh in pregnancy?
Answer: 1600 g (3.5 lbs)
- When does increased cardiac output occur in pregnancy? how?
Answer: 20-24 weeks gestation
decrease systemic vascular resistance (SVR) increased stroke volume increased HR by ten beats/min increased preload
- What kind of murmur is present in most pregnant women?
Answer: Systolic murmur due to physiologic changes
- What happens to the point of maximal impulse (PMI) in pregnancy? why?-
Answer: Displaced laterally b/c increase in L ventricular size
- What causes the increase in blood volume in pregnancy?
Answer: Increased estro- gen stimulates the renin-angiotensin-aldosterone system (RAAS), which increases aldosterone, which in turn increases Na and H2O absorption
- What occurs due to the rise in venous pressure? (3 things)
Answer:
Dependent pedal edema - increase venous pressure + dec osmotic pressure Varicose veins in legs and vulva Hemorrhoids
- What are the RBC changes in pregnancy? (2 things)
Answer:
Inc plasma volume accounts for anemia Inc utilization of iron
- What are the blood changes in pregnancy? (3)
Answer:
Inc WBC Plt dec Dec concentrations in all clotting factors
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