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OB > ATI Contraceptives + Vaccinations > Flashcards

ATI Contraceptives + Vaccinations Flashcards

1
Q

Rhogam

A

for RH- mom to suppress antibody formation

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2
Q

Cord Blood is tested for…

A

Rh status of newborn

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3
Q

types of vaccines

A

MMR

-avoid pregnancy 3 months after MMR vaccine

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4
Q

Kleihauer-Betke test

A

determines amt of fetal blood in maternal circulation

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5
Q

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

A

> 15mL

> > mom will receive an increased dose of Rhogam

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6
Q

Rhogam is admin within…

A

72 hr

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7
Q

Tdap

A

given post partum to protext bb from pertussis aka whooping cough

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8
Q

human ovum can be fertilized for ___ after ovulation

A

24hr

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9
Q

coitus interruptus (withdrawal)

A

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
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10
Q

calendar rhythm method

education

A

-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

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11
Q

coitus interruptus (withdrawal)

A
  • one of the least effective methods

- pre-ejaculatory fluid can leak fr penis

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12
Q

standard days method (cycle beads)

A

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
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13
Q

basal body temp

A

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
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14
Q

cervical mucus ovulatn detectn method

A

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
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15
Q

Spinnbarkeitt sign

A

when mucus is able to stretch bw fingers

-greatest during ovulation

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16
Q

2 day method

A

symptom based

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

17
Q

barrier methods

A
  • male condom
  • female condom
  • spermicide
  • diaphragm
  • cervical cap
  • contraceptive sponge
18
Q

polyurethane vs latex condoms

A

poly can slip or lose shape more easily than latex

19
Q

type of lube for latex condoms

A

water soluble

20
Q

female condoms

A

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

21
Q

female condoms disadvantage

A

compliated to use

  • loud during sex
  • bulky
  • more expensive than male condoms
22
Q

spermicide

A

chem barrier that is available in a variety of forms

  • destroys spem before entering cervix
  • causes flora to be more acidic
23
Q

spermicide education

A
  • 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
24
Q

spermicide CI

A
  • cervical infections

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

25
Q

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

A

N9

26
Q

diaphragm +Cervical Cap

A

dome shaped cup w flexible rim

  • made of silicone
  • fits over cervix
27
Q

diaphragm + Cervical Cap education

A
  • 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
28
Q

diaphragm CI

A
  • hx of toxic shock syndrome, cystocele, uterine prolapse, or frequent UTI
  • risk for allergic rxn or UTI
29
Q

toxic shock syndrome s/s

A
  • high fever
  • faint feeling
  • drop in BP
  • watery diarrhea
  • headache
  • macular rash
  • muscle aches
30
Q

Cervical Cap CI

A

not for pt w abnormal pap smear or hx of TSS

31
Q

contraceptive sponge

A

small round concave polyurethane sponge w spermicide

-fits over cervix

32
Q

contraceptive sponge education

A
  • 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
33
Q

contraceptive sponge CI

A

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

34
Q

types of hormonal methods

A 
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
35
Q

combined oral contraceptives

A

contains E + P

|&raquo_space;acts to suppress ovulation, thickening of cervical mucus to block semen, +alters decidua to prevent implantation

OB (18 decks)

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