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MATERNITY HINTS FOR HESI EXAM Q & A
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MATERNITY HINTS FOR HESI EXAMQ&A
Maternity Hints for HESI
The menstrual phase varies in length in most women.
How many days there are between ovulation & the next menstrual cycle? 14
days
*** in other words ovulation occurs 14 days before next menstrual cycle
What hormones increased/decrease in the ovulation phase?
- increase in Progesterone
- decrease in Estrogen
Is it true that a menstrual phase is the same for all women? No!!!
- varies based on
For how long do the sperm and eggs live?
- sperm: 48-72 hours
- eggs: 24 hours
What is the nursing teaching based on life span of an egg and sperm?
A couple must avoid unprotected intercourse for 3 days before and 3 days after ovulation to
prevent pregnancy
Indicators of ovulation phase
,MATERNITY HINTS FOR HESI EXAM
Q&A
- slight rise in temperature
- cervical mucus is abundant, watery, clear and ALKALINE
- Os slightly dilates, softens and rises
- Spinnbarkeit & ferning under microscope
,MATERNITY HINTS FOR HESI EXAM
Q&A
what are the 3 stages of fetal development?
1. Zygote: 12-14 days after fertilization
2. Embryo: 3-8 weeks
3. Fetus: 9 weeks to term
Note: embryo most vulnerable to teratogens
Is there a possibility of bleeding or spotting during implantion? Yes
- that is why women who experience implantation bleeding or spotting DO NOT know that
they are pregnant
Maternal changes at 8 weeks
- N/V persist up to 12 weeks
- uterus from pear to globular/ no noticeble weight gain
- Hegar; Goodell and Chadwick signs
• !!! Ambivalence about pregnancy
Teaching about prevention of nausea during pregnacy
• eat crackers before getting out of bed
• small and frequent meals
• avoid fatty foods
• avoid skipping meals
• ginger or lemonade are good***
What is the big safety issue with newly pregnant women?
teach them to AVOID:- hot tubs; steam rooms and saunas => cause hypotension and neural tube
defect during the 1st trimester
, MATERNITY HINTS FOR HESI EXAM
Q&A
Teaching about UTI prevention in pregnancy
- 3 Liters of fluid per day
- void frequently - preferably q2h
- void before and after intercourse
- wipe front-back
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