NURSING > A-Level Question Paper > RN ATI Capstone Maternal Newborn and Women-sHealth. (All)

RN ATI Capstone Maternal Newborn and Women-sHealth.

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1. A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What client education should the nurse provide prior to the procedure? The client education the nurse should provide prior to the procedure for chorionic villus sampling are: Chorionic villus sampling (CVS) is assessment of a portion of the developing placenta (chorionic villi), which is aspirated through a thin sterile catheter or syringe that is inserted through the abdominal wall or intravaginally through the cervix under ultrasound guidance. CVS is a first-trimester alternative to amniocentesis with one of its advantages being finding an earlier diagnosis of any abnormalities. CVS is ideally performed at 10 to 13 weeks of gestation. Identify potential complications associated with CVS. Potential complications associated with CVS are: Spontaneous abortion (higher risk with CVS than with amniocentesis) Risk for fetal limb loss (greatest risk prior to 9 weeks of gestation) Miscarriage Chorioamnionitis and rupture of membrane. 2. A nurse is providing community education regarding risk factors for ovarian cancer. Identify five (5) risk factors associated with the development of ovarian cancer. (Review the Med Surg RM) Five (5) risk factors associated with the development of ovarian cancer are: (1)- Over 40 years of age, (2)-Nulliparity of first pregnancy after 30 years of age, (3)-Family history of ovarian, breast or colon cancer (4)-History of dysmenorrhea or heavy bleeding (5)-Endometriosis 3. What are risks/possible complications/contraindications for the use of intrauterine contraceptive devices? Risks/possible complications/contraindications for the use of intrauterine contraceptive devices are: Risk of bacterial vaginosis, uterine perforation or uterine expulsion. Possible complications are irregular menstrual bleeding and must be removed in the event of pregnancy. Contraindicated in active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper IUD also for Wilsons disease and copper allergy. 4. 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? IUD advantages the nurse should provide are: IUD is effective for 1-10 years (3- 5 if hormonal), can be inserted after childbirth/miscarriage/abortion, can be removed easily and have no effect on fertility post-removal, safe for breastfeeding mothers and hormonal IUDs may lessen bleeding/cramping during menstruation

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