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Ovulation occurs how many days before the next menstrual
period? (AKA between ovulation & beginning of next menstrual
cycle, there are how many days?) .....ANSWER..... 14
To prevent pregnancy, a couple must avoid unprotected sex for
______days before anticipated ovulation & for ___ days after
ovulation to prevent pregnancy .....ANSWER..... Several days
before antcipated ovulation & 3 days after ovulation
---sperm live approx 3 days
---eggs live about 24 hrs
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Because some women experience _____ or _____, they do not
know they are pregnant .....ANSWER..... implantation bleeding
OR spotting
Signs of maternal-fetal bonding in utero? .....ANSWER..... talking
to fetus in utero
massaging abdomen
nicknaming fetus
For women, battering (emotional/physcial abuse) begins during
preg. How should women be assessed for abuse? .....ANSWER.....
In private, away from male partner, by nurse who is familiar w/
local resources & knows how to determine safety of the client
A women who is 6 wks preg has the following maternal history: -
healthy 2 yo daughter
-miscarriage at 10 wks
-elective abortion at 6 weeks
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-5 years earlier
(what is her GTPAL?) .....ANSWER..... 4-1-0-2-1
gravida 4, para 1 (only 1 delivery after 20 wks gestation)
What is EBD using Nagele's rule?
--Woman's last menstrual period Oct. 17 .....ANSWER..... Count
back 3 months +7 days
--July 24
When does plasma volume increase during preg? .....ANSWER.....
At approx 28 to 32 weeks, plasma volume increase 25-40%,
resulting in hemodilution of Hct values 32-42%
--High Hct values may look good, BUT in reality they represent a
gestational HTN disorder & depleted vascular space
Foods high in iron .....ANSWER..... -fish & red meats
-cereals & yellow vegetables
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-green leafy vegetables & citrus fruits
-egg yolks and dried fruits
What position increases perfusion to uterus, placenta, and fetus?
.....ANSWER..... L side-lying
Changes in ______ are the 1st & most important indicators of
compromised blood flow to fetus, & these changes require action!
.....ANSWER..... changes in FHR
--fetal well-being determined by fundal height, fetal heart tones
& rate, and uterine activity (contractions)
Possible indications of preeclampsia & eclampsia are?
.....ANSWER..... -*visual disturbances*
-*swelling of face, fingers, or sacrum*
-*severe, continuous headache*
-*persistant vomiting*
-*epigastric pain*