ATI Contraceptives + Vaccinations

Question 1

Rhogam

Answer 1

for RH- mom to suppress antibody formation

Question 2

Cord Blood is tested for…

Answer 2

Rh status of newborn

Question 3

types of vaccines

Answer 3

MMR

-avoid pregnancy 3 months after MMR vaccine

Question 4

Kleihauer-Betke test

Answer 4

determines amt of fetal blood in maternal circulation

Question 5

If more than ___ mL of fetal blood is detected in the Kleihauer-Betke test…

Answer 5

> 15mL

> > mom will receive an increased dose of Rhogam

Question 6

Rhogam is admin within…

Answer 6

72 hr

Question 7

Tdap

Answer 7

given post partum to protext bb from pertussis aka whooping cough

Question 8

human ovum can be fertilized for ___ after ovulation

Answer 8

24hr

Question 9

coitus interruptus (withdrawal)

Answer 9

involves determining fertile days by tracking menstrual cycle to estimate ovulatn (occurs 14 days before onset of next menses)

• not reliable
• useful if combined w basal body temp

Question 10

calendar rhythm method

education

Answer 10

-maintain diary, needs atleast 6 cycles
-start of fertile period is by subtraction 18 days fr the number of days of the shortest menstrual cycle
-end of fertile period is by subtracting 11 days fr number of days of longest cycle
ex)
short cycle: 26-18=8th day
long cycle: 30-11=19th day
fertile period is 8-19

Question 11

coitus interruptus (withdrawal)

Answer 11

• one of the least effective methods

- pre-ejaculatory fluid can leak fr penis

Question 12

standard days method (cycle beads)

Answer 12

modern form of calendar method

• start of menstrual cycle, use rubber ring to advance 1 bead per day
• red bead marks st day of menses
• brown is nonfertile days
• white is fertile days

Question 13

basal body temp

Answer 13

prior to ovulation, temp drops slightly + rises during ovulation

• take temp immediately after waking up before getting out of bed
• take temp fr longest sleep cycle
• use thermometer that uses special graph
• 1st day of high/low temp is fertile day

Question 14

cervical mucus ovulatn detectn method

Answer 14

symptom-based method

• client analyzes cervical mucous to determine ovulation
• after ovulation, mucus is thin, flexible, + stretchy bw fingers
• fertile period starts w slippery + thin mucus

Question 15

Spinnbarkeitt sign

Answer 15

when mucus is able to stretch bw fingers

-greatest during ovulation

Question 16

2 day method

Answer 16

symptom based

-after 2 days of no vaginal secretions, fertile period has passed

Question 17

barrier methods

Answer 17

• male condom
• female condom
• spermicide
• diaphragm
• cervical cap
• contraceptive sponge

Question 18

polyurethane vs latex condoms

Answer 18

poly can slip or lose shape more easily than latex

Question 19

type of lube for latex condoms

Answer 19

water soluble

Question 20

female condoms

Answer 20

vaginal sheath made of nitrile, a nonlatex synth rubber w flexible rings on both ends that is pre-lubed w spermicide

Question 21

female condoms disadvantage

Answer 21

compliated to use

• loud during sex
• bulky
• more expensive than male condoms

Question 22

spermicide

Answer 22

chem barrier that is available in a variety of forms

• destroys spem before entering cervix
• causes flora to be more acidic

Question 23

spermicide education

Answer 23

• use 15 min before sex
• only effective for 1 hr
• should NOT be removed until 6 hr after sex
• fold films before use + insert in vagina where it will dissolve

Question 24

spermicide CI

Answer 24

• cervical infections

- spermicides w N9 can cause lesions + incr risk for HIV if used for than 2x /day

Question 25

clients at high risk of STI should not use spermicide that contains...

Answer 25

N9

Question 26

diaphragm +Cervical Cap

Answer 26

dome shaped cup w flexible rim - made of silicone - fits over cervix

Question 27

diaphragm + Cervical Cap education

Answer 27

- must be fitted by HCP - replace Q2yr - refit w 20% wt change, ab/pelvc surgery, or after every pregnancy - inserted up to 6 hr before sex - stay in place 6 hr after sex but no more than 24 hr - empty bladder before insertion - washed w mild soap + warm water

Question 28

diaphragm CI

Answer 28

- hx of toxic shock syndrome, cystocele, uterine prolapse, or frequent UTI - risk for allergic rxn or UTI

Question 29

toxic shock syndrome s/s

Answer 29

- high fever - faint feeling - drop in BP - watery diarrhea - headache - macular rash - muscle aches

Question 30

Cervical Cap CI

Answer 30

not for pt w abnormal pap smear or hx of TSS

Question 31

contraceptive sponge

Answer 31

small round concave polyurethane sponge w spermicide | -fits over cervix

Question 32

contraceptive sponge education

Answer 32

- moisten w water before insertion - should be left in place 6 hr after sex - provides protection for up to 24 hr - can have repeated course of sex - easy to insert

Question 33

contraceptive sponge CI

Answer 33

risk of TSS if left in vagina for longer than 24 hr

Question 34

types of hormonal methods

Answer 34

``` 1 combined oral contraceptives 2 progesteron only pills (minipill) 3 emergency oral contraceptive 4 transdermal contraceptive patch 5 injectable progestins 6 contraceptive vaginal ring 7 implantable progestin 8 intrauterine device ```

Question 35

combined oral contraceptives

Answer 35

contains E + P | >>acts to suppress ovulation, thickening of cervical mucus to block semen, +alters decidua to prevent implantation