lOMoARcPSD|13111427
lOMoARcPSD|13111427
ATI Maternal Newborn - ati extra study
guide
nursing (Harvard University)
, lOMoARcPSD|13111427
ATI Maternal Newborn
Nursing Contraception
Barrier
Methods
- Condoms
- Diaphragms – must be refitted for every 2 years by a provider or if
you have gained more than 15lbs or have had a full term pregnancy
or a 2nd term abortion, you must also use spermicide with every act of
sex, must remain in place for 6 hours after sex
Oral Birth Control
- Hormonal methods, nuva ring, patch, etc. are contraceptive methods
that have side effects very similar to all they include; chest pain, SOB,
leg pain, HA, vision problems, could mean potential blood clot or stroke,
of PE, or HTN. Smokers are at higher risk. Women who smoke are not
recommended to take oral birth control.
Contraindications include: history of blood clots, stroke, cardiac
problems, or estrogen related cancer, or if you are a smoker
***What if I miss a dose?--> the nurse should instruct the pt that if there
was only 1 dose missed, take asap, if 2-3 doses missed, go by the
manufactures’ instructions.
, lOMoARcPSD|13111427
****EFFECTIVENESS decreases when taking anticonvulsants and
ABX.**** (Any medications that affect liver enzymes).
, lOMoARcPSD|13111427
Depo Provera (Injectable Progestins) – can cause decrease in bone
density, loss in calcium mineral, will need adequate calcium and vitamin
D to protect bones.
Should only be used as a long term method of birth method.
IUD’s – Intrauterine Devices
• can increase risk for pelvic inflammatory disease, and uterine
perforation, and will increase risk of ectopic pregnancy.
• LOOK for change in string length, foul smelling discharge, painful
intercourse, fever, chills, etc
Female Sterilization (Bilateral Tubal Litigation Salpingectomy)
➢ Surgical procedure: consisting of severance and/ or burning or
blocking the fallopian to prevent fertilization.
➢ Risk of ectopic pregnancy if pregnancy occurs.
Infertility – inability to conceive after trying for at least 12 months (1yr)
-work up will be done after that, will start with male (usual 40% of
time issue is with them)
-test on female, any test that has dye ensure no shellfish allergy or
iodine.
Nursing Interventions:
• Any medications that are used to treat infertility may increase
the risk of multiple births by more than 25%.
• Mothers who are less than 16 years old and older than 35 years old.
lOMoARcPSD|13111427
ATI Maternal Newborn - ati extra study
guide
nursing (Harvard University)
, lOMoARcPSD|13111427
ATI Maternal Newborn
Nursing Contraception
Barrier
Methods
- Condoms
- Diaphragms – must be refitted for every 2 years by a provider or if
you have gained more than 15lbs or have had a full term pregnancy
or a 2nd term abortion, you must also use spermicide with every act of
sex, must remain in place for 6 hours after sex
Oral Birth Control
- Hormonal methods, nuva ring, patch, etc. are contraceptive methods
that have side effects very similar to all they include; chest pain, SOB,
leg pain, HA, vision problems, could mean potential blood clot or stroke,
of PE, or HTN. Smokers are at higher risk. Women who smoke are not
recommended to take oral birth control.
Contraindications include: history of blood clots, stroke, cardiac
problems, or estrogen related cancer, or if you are a smoker
***What if I miss a dose?--> the nurse should instruct the pt that if there
was only 1 dose missed, take asap, if 2-3 doses missed, go by the
manufactures’ instructions.
, lOMoARcPSD|13111427
****EFFECTIVENESS decreases when taking anticonvulsants and
ABX.**** (Any medications that affect liver enzymes).
, lOMoARcPSD|13111427
Depo Provera (Injectable Progestins) – can cause decrease in bone
density, loss in calcium mineral, will need adequate calcium and vitamin
D to protect bones.
Should only be used as a long term method of birth method.
IUD’s – Intrauterine Devices
• can increase risk for pelvic inflammatory disease, and uterine
perforation, and will increase risk of ectopic pregnancy.
• LOOK for change in string length, foul smelling discharge, painful
intercourse, fever, chills, etc
Female Sterilization (Bilateral Tubal Litigation Salpingectomy)
➢ Surgical procedure: consisting of severance and/ or burning or
blocking the fallopian to prevent fertilization.
➢ Risk of ectopic pregnancy if pregnancy occurs.
Infertility – inability to conceive after trying for at least 12 months (1yr)
-work up will be done after that, will start with male (usual 40% of
time issue is with them)
-test on female, any test that has dye ensure no shellfish allergy or
iodine.
Nursing Interventions:
• Any medications that are used to treat infertility may increase
the risk of multiple births by more than 25%.
• Mothers who are less than 16 years old and older than 35 years old.
