Maternity Nursing: Antepartum Q 35

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Which of the following terms applies to the tiny, blanched, slightly raised end arterioles found on the face, neck, arms, and chest during pregnancy?

  

     A. Epulis

     B. Linea nigra

     C. Striae gravidarum

     D. Telangiectasias

    

    

Correct Answer: D. Telangiectasias.

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The dilated arterioles that occur during pregnancy are due to the elevated level of circulating estrogen. Telangiectasia is a condition in which widened venules (tiny blood vessels) cause threadlike red lines or patterns on the skin. These patterns, or telangiectasia, form gradually and often in clusters. They’re sometimes known as “spider veins” because of their fine and weblike appearance.

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Option A: Occasionally, a severe gum swelling, known as a “pregnancy epulis” or “pregnancy tumor”, may occur as a severe response to debris left on teeth. This often may subside spontaneously following the birth of the baby.

Option B: The linea nigra is a pigmented line extending from the symphysis pubis to the top of the fundus during pregnancy.

Option C: Striae gravidarum (SG) are atrophic linear scars that represent one of the most common connective tissue changes during pregnancy. SG can cause emotional and psychological distress for many women.

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