ATI Maternal Newborn Nursing QUESTIONS AND CORRECT ANSWERS

Diaphragm - Spermicide must be applied with each act of sexual intercourse and should remain in place 6 hrs after. Empty bladder prior to coitus Transdermal contraceptive patch - Patch applied to dry skin overlying subQ tissue, excluding breast Depo-Provera - IM injection given every 11-13 weeks (start should be during first 5 days of clients menstrual cycle) Essure - Insertion of agent resulting in development of scar tissue in Fallopian tubes. Not reversible Female sterilization - Burning or blocking the Fallopian tubes. Not reversible Vasectomy - Ligation and severance of vas deferens. Need alternate form of birth control for 20 ejaculations RhoGAM - Administered at 28 weeks gestation to a mother who is Rh-negative and gives birth to an Rh-positive infant. Recommended following an amniocentesis Oxytocin (Pitocin) - Monitor for water intoxication (lightheaded, n/v, headache, malaise) which can lead to cerebral edema, seizures, coma, and death. Contraindicated based on late decelerations 3 hour glucose tolerance test - Screens for gestational diabetes and is done at 28 weeks of gestation Rubella titer - Obtained at initial prenatal visit (about 6 weeks gestation)