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Exam (elaborations)

BSNC 5000 – OB questions with correct answers

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BSNC 5000 – OB questions with correct answers

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  • November 13, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Bsnc
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BSNC 5000 – OB questions with correct answers
Uteroplacental circulation Correct Answer-- uterine arterial blood supply
shown at right
- both the ovarian and uterine arteries supply the myometrium
- spiral arteries elongate as the endometrium cyclically thickens to
accommodate the possibility of implantation of a blastocyst


Intervillous space Correct Answer-- the space in the placenta in which
maternal blood bathes chorionic villi, allowing the exchange of materials
between the fetal and maternal circulations.


Divided into 3 parts:
- arterial circulation
- circulation in the intervillous space
- venous drainage


Hemodynamics of uteroplacental circulation Correct Answer-Volume of
placental blood flow - 600-700mL/min


Pressure in supplying uterine artery - 80-100 mmHg


Pressure in spiral arteries - 70mmHg


Pressure in draining uterine vein - 10mmHg

, Maternal intravascular volume changes Correct Answer-- plasma
volume increases by up to 1L


- rise in #rbc/blood volume but to lesser extent (placental lactogen
stimulates production of erythropoietin)


- dilutional gap causes physiological anemia


Blood pressure change in normal pregnancy Correct Answer--
progesterone relaxes smooth muscle in the wall of blood vessels


- relaxin increases systemic arterial compliance (vasodilation) to reduce
peripheral resistance


- decreases the effective circulating volume (same volume but larger
space to fill)


- effects of vasodilation:
•non-osmotic release of vasopressin/ADH
•activation of SNS and RAAS increases plasma volume for adequate
organ perfusion


Maternal cardiovascular changes Correct Answer-- increasing volume ->
increase in preload -> increased contractility.

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