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OB HESI Hints exams/ 141 Questions and Answers/ Verified.
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OB HESI Hints exams/ 141 Questions andAnswers/ Verified.
Length of the menstrual cycle? - -Menstrual phase varies in length in most women
pg. 221
-Timing of ovulation? - -Between ovulation + the beginning of the next menstrual cycle,
there are usually exactly 14 days
- so ovulation occurs 14 days before next menstrual period
pg. 221
-Fertile period in which to avoid intercourse to prevent pregnancy? - -Sperm live
approximately 3 days (48-72 hrs) + eggs live about 24 hrs
- A couple should avoid unprotected intercourse for several days before the anticipated
ovulation + for 3 days after ovulation to prevent pregnancy
pg. 221
-Implantation Spotting - -Because some women experience bleeding or spotting, they
do not know they are pregnant
pg. 223
-Maternal-fetal bonding in pregnancy - -Look for signs of maternal-fetal bonding in
pregnancy
- i.e. talking to fetus in utero, massaging abdomen, + nicknaming fetus are all healthy
psychosocial activities
,pg. 227
-Physical abuse in pregnancy - -For many women, battering (emotional or physical
abuse) begins during pregnancy
- Women should be assessed for abuse in private, away from the male partner, by a
nurse who is familiar w/ local resources + knows how to determine the safety of the
client
pg. 227
-Calculate GTPAL:
Woman is 6 weeks pregnant w/ the following maternal hx:
- Healthy 2 year old daughter
- Had a miscarriage at 10 weeks
- Had an elective abortion at 6 weeks, 5 years earlier - -GTPAL:
G41021
pg. 227
-Calculate EDD:
LMP: Oct. 17 - -July 24
- 3 months, + 7 days
- always give Feb 28 days
pg. 227
-Changes in blood volume + components in pregnancy - -At 28-32 weeks gestation:
- Plasma volume increase of 25%-40% which results in normal hemodilution of
pregnancy + Hct values of 32-42%
, High Hct values may look good but in reality represent a gestational HTN disorder + a
depleted vascular space
-Use Hgb + Hct to evaulate nutritional status:
A 22 year old primigravida at 12 weeks gestation has an Hgb of 9.6 g/dL + an Hct of
31%. She has gained 3 lbs during the 1st trimester. - -A weight gain of 2-4 lbs during 1st
trimester is recommended + this client is anemic
Supplemental iron + a diet higher in iron are needed
Foods high in iron:
- Fish + red meats
- Cereals + yellow veggies
- Green leafy veggies + citrus fruits
- Egg yolks + dried fruits
-Supine hypotension - -As pregnancy advances, the uterus presses on abdominal
vessels (vena cava + aorta)
- Teach woman that a left side lying position relieves supine hypotension + increases
perfusion to uterus, placenta, + fetus
-Fetal Well being - -Determined by assessing fundal height, FHTs + rate, fetal
movement, + uterine activity (contractions)
- Changes in FHR are the 1st + most important indicators of compromised blood flow to
the fetus, + these changes require action!
(normal FHR = 110-160 bpm)
-Early Danger Signs for Preeclampsia + Eclampsia: - -- Visual disturbances
- Swelling of face, fingers, or sacrum
- Severe, continuous HA
- Persistent vomiting
- Epigastric pain
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