(complete) RN ATI Capstone
Maternal Newborn and Women\\\\\\\'s
Health 2016
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(complete) RN ATI Capstone Maternal Newborn and
Women's Health 2016
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Downloaded by: Sophiie | [email protected]
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RN ATI Capstone Maternal Newborn and Women's Health 2016
1. Cancer Disorders: Risk Factors for Ovarian Cancer (Active Learning Template - System Disorder, RM AMS
RN 10.0 Chp 92)
a. Age greater than 40 years
b. Nulliparity or first pregnancy after 30 years of age
c. Family history of ovarian, breast, or genetic mutation for hereditary nonpolyposis colon cancer
(HNPCC)
d. BRCA1 or BRCA2 gene mutations
e. Diabetes mellitus
f. Early menarche/late menopause
g. History of dysmenorrhea or heavy bleeding
h. Endometriosis
i. High-fat diet (possible risk)
j. Hormone replacement therapy
k. Use of infertility medications
l. Older adult clients following surgery for cancer
2. 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
Contraindications: Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for
copper IUD also Wilson’s diseases and copper allergy
3. Contraception: Evaluating Client Understanding of an Intrauterine Device (Active Learning Template -
Medication, RM MN RN 10.0 Chp 1) A nurse is caring for a client who is considering use of a hormonal
intrauterine system. What information regarding the advantages of an Intrauterine Device (IUD) should the
nurse provide?
• Can maintain effectiveness for 1 to 10 years
• Can be inserted immediately after abortion, miscarriage, childbirth, and while breastfeeding
• Contraception can be reversed with immediate return to fertility
• Does not interfere with spontaneity
• Safe for mothers who are breastfeeding
• It is 99% effective in preventing pregnancy
• Hormonal IUDs: decrease menstrual pain and heavy bleeding
• Copper IUD: no hormones so it’s safe for women cautioned against hormonal birth methods
Chemically active T-shaped device 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
4. Expected Physiological Changes During Pregnancy: Identifying a Client's Obstetrical History (Active
Learning Template - Basic Concept, RM MN RN 10.0 Chp 3)
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Reproductive
Uterus increases in size and changes shape and position.
Ovulation and menses cease during pregnancy.
Cardiovascular
Cardiac output increases (30% to 50%) and blood volume increases (30% to 45% at term) to meet the greater
metabolic needs. Heart rate increases during pregnancy beginning around week 5 and reaches a peak
(10to15/min above pre-pregnancy rate) around 32weeks of pregnancy.
Respiratory
Maternal oxygen needs increase. During the last trimester, the size of the chest might enlarge, allowing for
lung expansion, as the uterus pushes upward. Respiratory rate increases and total lung capacity decreases.
Musculoskeletal
Body alterations and weight increase necessitate an adjustment in posture. Pelvic joints relax.
Gastrointestinal
Nausea and vomiting might occur due to hormonal changes and/or an increase of pressure within the
abdominal cavity as the pregnant client’s stomach and intestines are displaced within the abdomen.
Constipation might occur due to increased transit time of food through the gastrointestinal tract and, thus,
increased water absorption.
Renal
Filtration rate increases secondary to the influence of pregnancy hormones and an increase in blood volume
and metabolic demands. The amount of urine produced remains the same. Urinary frequency is common
during pregnancy.
Endocrine
The placenta becomes an endocrine organ that produces large amounts of hCG, progesterone, estrogen,
human placental lactogen, and prostaglandins. Hormones are very active during pregnancy and function to
maintain pregnancy and prepare the body for delivery
5. Infections: Caring for a Client in Labor Who Had a Positive Group B Streptococcus Screen (Active Learning
Template - System Disorder, RM MN RN 10.0 Chp 8) A nurse is caring for a client who was diagnosed with
group B streptococcus during her initial screening. What effects can this infection ha [Show Less]