Exam (elaborations)
ATI Maternal Newborn Nursing-Contraceptives
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ATI Maternal Newborn Nursing-Contraceptives ATI Maternal Newborn Nursing-Contraceptives ATI Maternal Newborn Nursing-Contraceptives
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ATI Maternal Newborn Nursing-Contraceptives/Infertility
Natural-Family Planning Methods - Abstinence, Coitus Interruptus (Withdrawl), Calendar Method
(Rhythm Method), Basal Body Temperature (BBT), Billings Method (Cervical Mucus Method).
Abstinence: Definition - Abstaining from having sexual intercorse to prevent pregnancy.
Abstinence: Client Instructions - Refrain from sexual intercourse. Touching, holding hands, kissing,
massage and oral and manual stimulation are all possible substitutes.
Abstinence: Advantages - Most effective method of birth control.
Can eliminate the risk of STDs if there is no genitalia contact.
Abstinence: Disadvantages - Requires self control.
Abstinence: Risks/possible complications - If complete abstinence is maintained there are no risks.
Coitus Interruptus (Withdrawal): Definition - When the man withdraws his penis from the vagina
prior to ejaculation.
Coitus Interruptus (Withdrawal): Client Instructions - Be aware of fluids leaking from the penis.
Coitus Interruptus (Withdrawal): Advantages - Possible cho9ice for monogamous couples wit hno
other option for birth control.
Coitus Interruptus (Withdrawal): Disadvantages - Most ineffective method of contraception.
No protection against STDs.
Coitus Interruptus (Withdrawal): Risks/Possible Complications - Depends on a man's ability to
control ejaculation.
Leakage of fluit that contains spermatozoa prior to ejaculation can be deposited in vagina.
, Risk of pregnancy.
Calendar Method (Rythm Method) is - A woman records her menstrual cycle by calculating her
fertile period before the onset of her next menstrual cycle and avoids intercourse during that period.
Calendar Method (Rythm Method): Client Instructions - Accurately record the number of days in
each cycle counting from the first day of menses for a period of at least 6 cycles.
The start of the fertile period is figured by subtracting 18 days from the number of days in the
shortest cycle.
The end of the fertile period is establilshed by subtracting 11 days from the number of days of the
longest cycle.
Refrain from intercourse during these days.
Calendar Method (Rythm Method): Advantages - Most useful when combined with basal body
temperature or cervical mucus method.
Inexpensive.
Calendar Method (Rythm Method): Disadvantages - Not a very reliable technique.
Requires accurate record keeping.
Requires compliance with abstinence by both partners during fertile periods.
Calendar Method (Rythm Method): Risks/Possible Complications - Various factors can affect and
change the time of ovulation and cause unpredicatble menstrual cycles.
Risk of pregnancy.
Basal Body Temperature (BBT): Definition - Temperature can droop slightly after the time of
ovulation.
This can be used to facilitate conception to be used as a natural contraceptive.
Basal Body Temperature (BBT): Client Instructions - A woman is instructed to measure oral
temperature prior to getting out of bed each morning to monitor ovulation.
Basal Body Temperature (BBT): Advantages - Inexpensive, convienient, and no side effects.
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