Author Question: What is the reason for vascular volume increasing by 40 to 60 during pregnancy? a. Prevents ... (Read 43 times)

viki · **on:** Jun 28, 2018

What is the reason for vascular volume increasing by 40 to 60 during pregnancy?

a. Prevents maternal and fetal dehydration
b. Eliminates metabolic wastes of the mother
c. Provides adequate perfusion of the placenta
d. Compensates for decreased renal plasma flow

Question 2

A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Which are her gravida and para?

a. 3, 2
b. 4, 3
c. 4, 2
d. 3, 3

Dunkey · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The primary function of increased vascular volume is to transport oxygen and nutrients to the fetus via the placenta. Preventing maternal and fetal dehydration is not the primary reason for the increase in volume. Assisting with pulling metabolic wastes from the fetus for maternal excretion is one purpose of the increased vascular volume. Renal plasma flow increases during pregnancy.

Answer to Question 2

ANS: C
She has had four pregnancies, including the current one (gravida 4). She had two pregnancies that terminated after 20 weeks (para 2). The pregnancy that terminated at 8 weeks is classified as an abortion. Because she is currently pregnant, she is classified as a gravida 4. Gravida 4 is correct, but she is para 2; the pregnancy that was terminated at 8 weeks is classified as an abortion. Because she is currently pregnant, she would be classified as a gravida 4, not 3.