RN ATI Capstone Maternal Newborn and Womens Health (complete test with answers)

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.  best study material can be found in passing grades. 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)