The developmental task of the first trimester of pregnancy is
movement from conflict and ambivalence to acceptance.
During pregnancy, maternal
... [Show More] hepatic glucose and pancreatic insulin production increase to meet the metabolic demands of both the mother and fetus. Therefore, pregnancy is generally characterized by
post prandial hyperglycemia and hyperinsulinemia
Which of the following coagulation factors does not increase during pregnancy?
platelets
Caroline is admitted for observation with signs of preeclampsia. The physician orders a urine test for protein. You recognize that the accuracy of urine specimen collection can be enhanced by
sending a 24-hour urine collection instead of a single sample to accommodate diurnal fluctuations in urine flow.
Profound reproductive and endocrine changes occur throughout pregnancy. Which of the following statements is true about progesterone?
Progesterone supports and maintains implantation of the developing embryo in early pregnancy.
During the 2nd trimester of pregnancy, a woman may choose to have a serum alpha-fetoprotein (AFP) level drawn. An AFP is a screening tool for which
a low level may be associated with Down's syndrome and other chromosomal abnormalities.
As pregnancy progresses, the effect of hormones produced by the placenta results in a decrease in the mother's ability to use insulin. Which of the following is also an effect of maternal hormones during pregnancy?
An increase in the maternal demand for insulin
Which fetal structure provides nutrients to the fetus until the placenta is fully functioning?
yolk sac
Mrs. McKenzie has arrived for a routine prenatal visit. She is 34 weeks pregnant and is complaining of heartburn and constipation. Her vital signs, fetal heart rate, and deep tendon reflexes are normal. You recognize that her complaints may be due to a/an
decrease in gastric smooth muscle tone and motility caused by increasing maternal hormones.
An essential component of prenatal health assessment is the determination of the pregnant woman's vital signs. Which of the following is an expected change in vital signs during pregnancy?
An increase in the respiratory rate and a heighted awareness to breathe as pregnancy progresses
During the initial prenatal examination, Veronica asks what to expect at future examinations. You describe that over the next few months, each prenatal exam will consist of
an abdominal exam, as well as assessment of fetal heart rate and movement. [Show Less]