ATI OB PROCTORED LATEST STUDY GUIDE &SUMMARY

ATI OB PROCTORED LATEST 2023-2025 STUDY GUIDE
&SUMMARY
Sterilization, k,Infertility, k,and k,Signs k,of k,Pregnancy k,Female k,Sterilization
● Transcervical k,→ k,flexible k,agents k,are k,placed k,into k,the k,fallopian k,tubes k,which k,causing k,therefore k,leading k,to k,occlusion k,of k,the k,fallopian
k,tubes. k,This k,procedure k,can k,be k,done k,without k,the k,use k,of k,general k,anesthesia. k,Effectiveness k,takes k,up k,to k,3 k,months. k,Client k,must k,take

k,contraceptives k,for k,the k,first k,3 k,months k,until k,the k,provider k,knows k,whether k,the k,tubes k,are k,blocked k,or k,not. k,Not k,for k,PP k,patients


○ Risks:
■ Perforation
■ Increased k,risk k,for k,ectopic k,pregnancy k,if k,one k,were k,to k,occur
● Tubal k,ligation k,→ k,done k,under k,general k,anesthesia. k,Sever k,or k,burn k,the k,fallopian k,tubes k,to k,prevent k,fertilization. k,It k,can k,be k,done k,PP
○ Risks:
■ General k,complications k,that k,occur k,with k,general k,anesthesia
■ Increased k,risk k,for k,ectopic k,pregnancy k,if k,one k,were k,to k,occur
○ Advantages
■ Permanent, k,immediate k,contraception
■ This k,method k,can k,be k,done k,within k,24-48 k,hours k,after k,childbirth
■ Sexual k,function k,is k,unaffected
■ Decreases k,the k,incidence k,of k,ovarian k,cancer
○ Disadvantages
■ Does k,not k,protect k,against k,STIs
■ Risks k,related k,to k,anesthesia, k,complications, k,hemorrhage, k,and k,trauma
■ Considered k,irreversible

Male k,Sterilization
● Vasectomy k,→ k,sever k,the k,ves k,deferons. k,Alternative k,form k,of k,contraception k,will k,need k,to k,be k,used k,for k,about k,20 k,ejaculations k,in k,order k,for k,the
k,sperm k,to k,empty k,out k,the k,rest k,of k,the k,ves k,deferens.


○ Testing k,for k,sperm k,count k,is k,important
○ Can k,be k,reversible
○ Get k,follow k,up k,testing k,before k,you k,stop k,the k,alternate k,contraception

,Infertility
● Couple k,has k,been k,unable k,to k,conceive k,for k,a k,period k,of k,time k,(usually k,12 k,months)
● Diagnostic k,tests

, ○ Semen k,analysis k,first k,in k,an k,infertility k,workup k,because k,it k,is k,less k,expensive k,and k,less k,invasive k,than k,female k,infertility k,testing
○ Then k,turn k,to k,the k,female
■ Hysterosalpingography k,→ k,checks k,for k,the k,patency k,of k,the k,fallopian k,tubes k,using k,contrast k,die. k,We’re k,shooting k,die k,up k,the k,fallopian
k,tubes k,to k,make k,sure k,they’re k,open k,and k,not k,occluded k,in k,any k,way. k,Check k,for k,shellfish k,or k,iodine k,allergy


■ Laparoscopy k,→ k,observe k,and k,assess k,internal k,organs k,under k,general k,anesthesia. k,Blow k,abdomen k,up k,with k,oxygen k,gas. k,May k,have
k,pain k,after k,related k,to k,the k,gas k,buildup. k,Encourage k,the k,patient k,to k,ambulate k,and k,increase k,fluids k,and k,fiber k,to k,get k,rid k,of k,the k,excess k,gas k,Contraception


• Diaphragm
o k,Is k,used k,with k,spermicidal k,cream k,or k,jelly k,and k,offers k,a k,good k,level k,of k,protection k,from k,conception k,o k,Must k,be k,fitted k,by
trained k,personnel k,o k,Should k,be k,rechecked k,for k,correct k,size k,after k,each k,childbirth k,and k,whenever k,a k,woman k,has k,gained k,or
k,


lost k,10 k,-15 k,pounds k,or k,more k,o k,Place k,in k,the k,vagina k,6 k,hours k,before k,intercourse k,and k,must k,be k,left k,in k,for k,at k,least k,6 k,hours
k,


after k,sex k,o k,Should k,be k,cleansed k,with k,mild k,soap k,and k,water k,and k,air k,dry k,before k,it k,is k,stored k,o k,Good k,for k,women k,who
k,


are k,lactating, k,do k,not k,want k,to k,use k , oral k,contraceptive, k,and k,smokers
k,


• Long k,acting k,reversible k,contraception k,o
Intrauterine k,contraception k,(IUD)
▪ Inserted k,into k,the k,uterus k,by k,a k,healthcare k,professional
▪ Provides k,continuous k,protection k,for k,3-10 k,years
▪ Contraindications pregnant k,or k,have k,an k,active k,pelvic k,infection k,(endometriosis, k,cervicitis, k,or k,pelvic k,TB)
▪ Adverse k,reactions discomfort k,to k,the k,wearer, k,increased k,bleeding k,during k,menses, k,dysmenorrhea, k,and k,expulsion k,of k,the k,device
▪ It k,is k,inserted k,into k,the k,uterus k,with k,its k,stings k,or k,tail k,protruding k,through k,the k,cervix k,into k,the k,vagina
▪ Woman k,should k,check k,for k,the k,strings k,each k,week k,for k,the k,first k,month k,and k,then k,after k,each k,menses
▪ Should k,be k,removed k,if k,woman k,becomes k,pregnant
o
Signs k,of k,Pregnancy
● Presumptive k,→ k,can k,be k,explained k,by k,things k,other k,than k,pregnancy
○ Amenorrhea: k,may k,be k,pregnant k,or k,an k,athlete
○ nausea/vomiting
○ Urinary k,frequency
○ Breast k,changes darkened k,areola
○ Quickening: k,feeling k,the k,baby k,move k,(gas)
○ Uterine k,enlargement k,(cancer)
● Probable k,→ k,probably k,are k,pregnant.

, ○
Hagar k,sign softening k,of k,the k,isthmus k,of k,the k,uterus
○ Chadwick’s k,sign discoloration k,of k,the k,cervix, k,vagina, k,and k,vulva k,(blue)
○ Goodell softening k,of k,the k,cervix
○ Ballottement rebound k,of k,unengaged k,fetus
○ Braxton k,hicks
○ Positive k,pregnancy k,test
○ Enlargement k,of k,the k,abdomen
○ Fetal k,outline k,felt k,by k,examiner
● Positive k,→ k,no k,other k,explanation. k,They k,are k,pregnant
○ Fetal k,heart k,sounds
○ Fetal k,movement k,felt k,by k,a k,provider
○ Visualization k,of k,the k,fetus k,via k,ultrasound
○ Baby k,coming k,out k,of k,the k,vagina
○ Gestational k,sac k,can k,be k,observed k,by k,4-5 k,weeks