OB Maternal Newborn ATI Proctored Notes

Video #1: Contraception & Infertility Ø Diaphragms: client must be refitted for a diaphragm for the following conditions: 1.) Its been 2 years since she’s been fitted 2.) Gained more than 15 pounds (7kg) 3.) Had a full term pregnancy 4.) Had a second term abortion o When 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 withdrawl, instill more spermicide o Diaphragm must stay inserted for 6hrs after act of coitus Ø Hormonal Contraceptives (Oral) o Side effects: Chest pain, SOB, Leg pain (from a possible clot), headache or eye problems (from a stroke or hypertension) o Contraindications: Women with a history of blood clots, stroke, cardiac problems, smoker, breast or estrogen related cancers (pill contains estrogen) Ø Depo-Provera/Medroxyprogesterone o Injectable progestin o Can cause decreased bone mineral density or loss of calcium § Nursing action: Ensure patient has adequate intake of calcium and vitamin D Ø IUD o Increase risk for PID o Can cause uterine perforation or ectopic pregnancy (increases risk for ectopic pregnancy) o Look out for/Notify PCP: § Change in string length à IUD is moving and not in the right place