OB HESI HINTS LATEST UPDATE QUESTIONS AND ANSWERS RATED A+

OB HESI HINTS LATEST UPDATE QUESTIONS AND ANSWERS RATED A+ 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