RN ATI Capstone Maternal Newborn and Women Study Guide

RN ATI Capstone Maternal Newborn and Women's Health Health Promotion and Maintenance - (12) Cancer Disorders: Risk Factors for Ovarian Cancer (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 92) Age greater than 40 years Nulliparity or first pregnancy after 30 years of age Family history of ovarian, breast, or genetic mutation for hereditary nonpolyposis colon cancer (HNPCC) BRCA1 or BRCA2 gene mutations Diabetes mellitus Early menarche/late menopause History of dysmenorrhea or heavy bleeding Endometriosis High‑fat diet (possible risk) Hormone replacement therapy Use of infertility medications Older adult clients following surgery for cancer Contraception: Contraindication to Intrauterine Device (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 1) RISKS/CONTRAINDICATIONS Best used by women in a monogamous relationship due to the risks of STIs Can cause irregular menstrual bleeding Risk of bacterial vaginosis, uterine perforation, or uterine expulsion Must be removed in the event of pregnancy CONTRA-INDICATIONS: Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper IUD also Wilson’s diseases and copper allergy Contraception: Evaluating Client Understanding of an Intrauterine Device (Active Learning Template - Medication, RM MN RN 10.0 Chp 1) A chemically active T-shaped device that is inserted through the cervix and placed in the uterus by the provider. Releases a chemical substance that damages sperm in transit to the uterine tubes and prevents fertilization. The most effective contraceptive methods at preventing pregnancy are the long acting reversible contraceptive (LARC) methods: implant and IUDs. IUDs can be used by nulliparous and multiparous women. CLIENT EDUCATION: The device must be monitored monthly by clients after menstruation to ensure the presence of the small string that hangs from the device into the upper part of the vagina to rule out migration or expulsion of the device