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post test pregnancy physiology

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

The figure above shows the change in card iac

output with pregnancy. The discrepancy in the

two lines is due primarily to the effect

a)

on respiration

b)

on uterine blood flow

c)

on venous return

d)

of pressure on the aorta

e)

on the central nervous system

2.

Which one of the following is the correct statement regarding drug action and placental transfer in a parturient?

a)

Placental transfer is minimal with muscle relaxants.

b)

Opioids do not cross the placenta.

c)

Inhalational anesthetics increase uterine

muscle tone.

d)

Nitrous oxide is contraindicated for

cesarean section secondary to interference with vitamin B12

synthesis.

e)

Thiopental does not cross the placenta

3.

During pregnancy, the disproportionate increase in plasma volume versus

erythrocyte volume accounts for

a)

Increase in the mean arterial pressure

b)

Increase in stroke volume

c)

Increase in cardiac output

d)

Relative anemia of pregnancy

4.

By the third trimester of pregnancy, cardiac output increases to nearly 50% due to which of these alterations?

a)

Increase in stroke volume and increase in heart rate

b)

Decrease in stroke volume and increase in heart rate

c)

Increase in stroke volume and decrease in heart rate

d)

Decrease in stroke volume and decrease in heart rate

5.

The largest increase in cardiac output is seen during this peripartum period:

a)

During induction of anesthesia

b)

During the start of labor

c)

Immediately after delivery

d)

At conception

6.

The speed of time to hypoxia following apnea is faster in the late-trimester parturient due to all of the following factors, except

a)

Reduced functional residual capacity

b)

Increased minute ventilation

c)

Pre-oxygenation

d)

Increased oxygen consumption

7.

The correct respiratory physiologic change associated with pregnancy is

a)

Increase in arterial pH

b)

Increase in HCO3

c)

Increase in PaCO2

d)

Increase in tidal volume

8.

Normal fetal heart rate (FHR) is

a)

60 to 100 beats/min

b)

90 to 130 beats/min

c)

110 to 160 beats/min

d)

150 to 200 beats/min

9.

What is the P50 of fetal hemoglobin at term?

a)

12 mm Hg

b)

18 mm Hg

c)

24 mm Hg

d)

30 mm Hg

10.

Cardiac output increases dramatically during pregnancy and delivery . The

cardiac output returns to nonpregnant values by how long postpartum?

a)

12 hours

b)

1 day

c)

2 weeks

d)

6 months