ATI Proctored OB Maternal Newborn latest Study Guide 100%

OB Maternal Newborn ATI Exam Study Guide Video #1: Contraception & Infertility Diaphragms: client must be refitted for a diaphragm for the following conditions: 1.It’s been 2 years since she has been fitted 2.Gained more than 15 pounds (7kg) 3.Had a full-term pregnancy 4.Had a second term abortion oWhen you use a diaphragm, you need to use spermicide with every act of coitus (withdrawal of penis from vagina prior to ejaculation). Every time you withdrawal, instill more spermicide. oDiaphragm must stay inserted for 6hrs after act of coitus. Hormonal Contraceptives (Oral) oSide effects: Chest pain, SOB, Leg pain (from a possible clot), headache or eye problems (from a stroke or hypertension) oContraindications: Women with a history of blood clots, stroke, cardiac problems, smoker, breast or estrogen related cancers (pill contains estrogen) Depo-Provera/Medroxyprogesterone oInjectable progestin oCan cause decreased bone mineral density or loss of calcium Nursing action: Ensure patient has adequate intake of calcium and vitamin D IUD oIncrease risk for PID oCan cause uterine perforation or ectopic pregnancy (increases risk for ectopic pregnancy) oLook out for/Notify PCP: Change in string length IUD is moving and not in the right place Foul smelling vaginal discharge Pain with intercourse Fever/Chills (infection) Infertility is defined as an inability to conceive desire engaging in unprotected sexual intercourse for a prolonged period of time or at least 12 months. Common factors associated with infertility include: oDecreased sperm production (Sperm analysis) oEndometriosis oOvulation disorders oTubal occlusions If you test and use DYE (used in the fallopian tubes), make sure the woman is not allergic to iodine or shellfish/seafood Video #2: Signs of Pregnancy Presumptive: Can be defined by things/reasons other than pregnancy Amenorrhea  Can be anorexic or exercising too much Fatigue  Didn’t sleep well Nausea/Vomiting  Sick Urinary Frequency  UTI Quickening/Fluttering in stomach  Gas