RN ATI Capstone Maternal Newborn and Women's Health 2016
1. Cancer Disorders: Risk Factorsfor Ovarian Cancer (Active Learning Template - System Disorder,
... [Show More] 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 clientsfollowing 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 effectivenessfor 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 [Show Less]