{"id":114709,"date":"2023-08-22T10:44:53","date_gmt":"2023-08-22T10:44:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114709"},"modified":"2023-08-22T10:44:54","modified_gmt":"2023-08-22T10:44:54","slug":"exam-1-2-3-blueprint-bundle-nur-2513-nur2513-latest-2023-2024-maternal-child-nursing-rasmussen-this-bundle-consists-of-4-four-sets-of-exam-blueprint-exam-1-2-3-nur-2513-nur251","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/22\/exam-1-2-3-blueprint-bundle-nur-2513-nur2513-latest-2023-2024-maternal-child-nursing-rasmussen-this-bundle-consists-of-4-four-sets-of-exam-blueprint-exam-1-2-3-nur-2513-nur251\/","title":{"rendered":"Exam 1, 2 &#038; 3 Blueprint BUNDLE &#8211; NUR 2513 \/ NUR2513 (Latest 2023 \/ 2024): Maternal Child Nursing &#8211; Rasmussen"},"content":{"rendered":"\n<p id=\"content-description\">This Bundle consists of 4 (four) sets of Exam Blueprint | Exam 1, 2 &amp; 3 | NUR 2513 \/ NUR2513 Maternal Child Nursing \/ MCN &#8211; Rasmussen University<\/p>\n\n\n\n<p>NUR 2513 Maternal-Child Nursing<br>Exam 1 Blueprint<br>Module 1:<br>\uf0b7 Nursing roles in the maternal-child healthcare environment<br>o Scope of practice include:<br>\uf0a7 Preconception health care<br>\uf0a7 Care of women during three trimesters of pregnancy and the<br>puerperium (6 weeks after childbirth, sometimes termed the fourth<br>trimester of pregnancy)<br>\uf0a7 Care of infant during the perinatal period (time span beginning at<br>20 weeks of pregnancy to 4 weeks after birth)<br>\uf0a7 Care of children from birth through late adolescent<br>\uf0a7 Care in a variety of hospital and home care settings<br>o Maternal and child health nursing is:<br>\uf0a7 Family centered \u2013 assessment should always include family as well<br>as an individual<br>\uf0a7 Community centered \u2013 the health of families is both affected by and<br>influences the health of community<br>\uf0a7 Evidence based<br>o Phases of health care<br>\uf0a7 Health promotion \u2013 educating parents and children to follow sound<br>health practices through teaching and role modeling<br>\uf0a7 Health maintenance \u2013 intervening to maintain health when risk of<br>illness is present<br>\uf0a7 Health restoration \u2013 using conscientious assessment to be certain<br>that symptoms of illness are identified and interventions are begun<br>to return patient to wellness most rapidly<br>\uf0a7 Health rehabilitation \u2013 helping prevent complications from illness;<br>helping a patient with residual effects achieve an optimal state of<br>wellness and independence; helping a patient to accept inevitable<br>death<br>\uf0b7 Current trend in maternal-child healthcare<\/p>\n\n\n\n<p>o Families are not as extended as in previous generations, so contain fever<br>members \u2013 fewer family members are available as support people in time<br>of crisis<br>o The number of single-parent families is increasing so rapidly it now equals<br>the number of nuclear families in the United States \u2013 fever financial<br>resources than dual-employed parents<br>o 90% of women in the US work outside their home at least part time; many<br>women are the main wage earner for their family \u2013 health care must be<br>scheduled at times a working parent can come for care for herself of child<br>o Families are more mobile than previously; increase in homeless women<br>and children<br>o Both child and intimate partner violence is increasing in incidence<br>o Families are more health conscious than ever before<br>o Health care must respect cost containment by creating \u201chealthcare homes\u201d<br>or \u201cmedical homes\u201d<br>o Patient advocacy is necessary as it is easy for families to feel lost in the<br>healthcare system<br>o Expansion of community based services<br>o Accidents are a leading cause of injury\/mortality in the school aged<br>population and therefore education focused on this topic would be<br>considered high priority<br>o Mobile, single, employed mom<br>\uf0b7 Recent changes and evolution of maternal-child healthcare<br>o Immunization has eradicated childhood diseases such as measles and<br>poliomyelitis<br>o New fertility drugs and fertility techniques allow more couples to conceive<br>o The ability to prevent preterm birth and improve the quality of life for both<br>preterm and late preterm infants has increased dramatically<br>o Stem cell therapy to replace diseased cells<br>o Self-care has made childbearing and childrearing families\u2019 active<br>participants in their own health monitoring<br>o Measuring maternal and child health<br>\uf0a7 Birth rate in US continue to gradually decrease to 13.4 per 1000<br>population in 2014 compared to 30.2 per 1000 population in 1909<br>\uf0a7 Increased availability of contraception<br>\uf0a7 Birth rate for women 20-24 years of age is gradually<br>declining<br>\uf0a7 Fertility rate 62.9% in US \u2013 typical of a healthy, high-resource<br>country<\/p>\n\n\n\n<p>\uf0a7 Fetal death rate 5.96% in 2013 for US<br>\uf0a7 Due to increased quality of maternal health and prenatal<br>care<br>\uf0a7 Neonatal death rate 582.1 in 100,000 live births<br>\uf0a7 Leading cause of death due to prematurity with associated<br>low birth weight, congenital malformations, maternal<br>complications of pregnancy, SIDS, and injuries<br>\uf0a7 Infant mortality rate 5.96 per 1000 live births in US 2013<br>\uf0a7 Higher in native Alaskan, native American, and black infants<br>than it is for white, Asian or pacific islander, or non-Hispanic<br>newborns<br>\uf0a7 Maternal mortality rate 15.9 per 100000 live births<br>\uf0a7 Child mortality rate 25.5 per 100000<br>\uf0a7 High incidence of homicide and suicide in the 10- to 19-<br>year-old age group<br>\uf0b7 Cultural and social diversity considerations in maternal-child healthcare<br>o Whites and Asians are more likely to have a two-parent household with<br>both parents in their first marriage<br>o Black and Hispanic families are more likely to be single parents, mostly<br>mothers only<br>o Foster family \u2013 800,000 American children in foster care due to unsafe<br>environments created by their parents<br>o Increasing awareness of individuality and diversity of patients<br>\uf0b7 Legal considerations in maternal-child healthcare<br>o Nurses are legally responsible for protecting the rights of their patients,<br>including confidentiality, and are accountable for the quality of their<br>individual nursing care and that of other healthcare team members<br>o Documentation for justifying actions<br>o Informed consent for invasive procedures in children and determining if<br>pregnant women are aware of any risk to the fetus associated with a<br>procedure or test<br>o Emancipated minors have the right to sign for their own health care<br>o \u201cWrongful birth\u201d is the birth of a disabled child whose pregnancy the<br>parents would have chosen to end if they had been informed about the<br>disability during pregnancy<br>o \u201cWrongful life\u201d is the claim that negligent prenatal testing on the part of a<br>healthcare provider resulted in the birth of a disabled child<br>o \u201cWrongful conception\u201d contraceptive measure failed<br>\uf0b7 Ethical considerations in maternal-child healthcare<br><\/p>\n\n\n\n<p>NUR 2513 Maternal-Child Nursing<\/p>\n\n\n\n<p>NUR2513 MCN Exam 3 Blueprint<\/p>\n\n\n\n<p>Pediatric Respiratory Disorders<br>\uf0b7 BRONCHOSCOPY<br>o Procedure that lets the doctor look at your lungs and air passages<br>o Used to diagnose lung issues, tumors, infections and bleeding<br>o Nursing interventions<br>\uf0a7 Secure informed consent<br>\uf0a7 Check NPO status<br>\uf0a7 Assess s\/sx of bleeding, monitor vitals, maintaining patent airway<br>\uf0a7 Position the client, reinforce diet (NPO), prevent aspiration<br>\uf0a7 Do not do in patients with recent head trauma or ICP<br>\uf0a7 Monitor for s\/sx of pneumothorax- SOB, tachycardia, chest pain, coughing<br>\uf0b7 BACTERIAL PNEUMONIA<br>o Nursing assessment<br>\uf0a7 Children may appear acutely ill, high fever, tachycardia, chest\/abdominal pain,<br>signs of respiratory distress<br>\uf0a7 Breath sounds are diminished, crackles in lungs (rales<br>o Interventions<br>\uf0a7 IV fluids, antibiotics, antipyretics, humidified air, reposition client<br>\uf0a7 Assess O2 sats- administer oxygen as prescribed<br>\uf0a7 Possible CT to check secretion and prevent obstruction<br>\uf0a7 Maintain airway (sometimes tracheostomy)<br>\uf0b7 CYSTIC FIBROSIS<br>o Assessment<br>\uf0a7 Autosomal recessive disorder of secretory glands leading to poor nutrition and<br>infections<br>\uf0a7 Thick mucus secretions particularly in pancreas and lungs<br>\uf0a7 Electrolyte balances<br>\uf0a7 Salty tasting sweat\/tears, steatorrhea (greasy) stools<br>\uf0a7 Diagnostic test- sweat chloride test<br>\uf0a7 Pulmonary function tests<br>o Pharmacological management<br>\uf0a7 Pancrelipase- enzyme replacement; aids in digestion<br>\uf0b7 Adverse effects- nausea, diarrhea, abdominal cramps<br>\uf0b7 Nursing Care<br>o Administer with meals, avoid inhaling powder or spitting into hands,<br>do not crush tablet<br>\uf0b7 ASTHMA<br>o Client education<br>\uf0a7 Instruct patient\/ parent on s\/sx to help monitor effectiveness or treatment and<br>exacerbation<br>\uf0a7 Identify and avoid personal triggering agents<\/p>\n\n\n\n<p>\uf0a7 Provide family with asthma action plan<br>\uf0a7 Use peak flow meter at same time each day<br>\uf0a7 Promote good nutrition, hand hygiene, and reduce allergens in the home<br>\uf0a7 Perform regular exercise as part of asthma therapy (promotes ventilation and<br>perfusion, maintains cardiac health, and enhances skeletal muscle strength)<br>o Assessment<br>\uf0a7 Dyspnea, cough, audible wheezing, course lung sounds, wheezing throughout<br>possible crackles, mucus production, restlessness, irritability, anxiety, sweating, use<br>of accessory muscles, decreased oxygen saturation, tripod positioning, sitting<br>retractions, inaudible breath sounds or crackles (severe obstruction)<br>\uf0a7 Exercise intolerance<br>o Pharmacological management<br>\uf0a7 Quick relief (rescue drugs)<br>\uf0b7 Short-acting bronchodilators- albuterol, levalbuterol<br>\uf0b7 Systemic corticosteroids- dexamethasone, prednisone<br>\uf0a7 Long term (preventer drugs)<br>\uf0b7 Corticosteroids, antiallergy agents (antihistamines), NSAIDs, long-acting<br>bronchodilators, leukotriene modifiers, nebulizers<br>\uf0b7 CROUP<br>o Age range= 3months \u2013 5 years, most common at age 2<br>o Usually only have minimal signs at bedtime<br>o Affects trachea, larynx, bronchi<br>o URI symptoms (cough, nasal congestion, fever)<br>\uf0a7 Barky cough, dyspnea, stridor, retractions<br>o Treatment<br>\uf0a7 Diagnosis- soft tissue imaging of the neck shows steeple sign<br>\uf0a7 Maintain airway, monitor O2 sats<br>\uf0a7 Provide rest, elevate HOB, provide humidified air<br>\uf0a7 Systemic corticosteroids: reduce inflammation, dexamethasone @ 0.6 mg\/kg<br>\uf0a7 Nebulized budesonide<br>\uf0a7 Nebulized racemic EPI for more severe cases (stridor at rest)<br>\uf0b7 PERTUSSIS<br>o Highly contagious- whooping cough-Bordetella for diagnosis<br>o Assessment<br>\uf0a7 Common cold manifestations: runny nose\/congestion, sneezing, mild fever, mild<br>cough<br>\uf0a7 Severe coughing starts in 1-2 weeks<br>\uf0b7 Coughing fits, violent and rapid coughing, loud \u201cwhooping\u201d sound upon<br>inspiration<br>\uf0a7 Paroxysmal coughing- refers to series of expiratory coughs after a deep inspiration<br>\uf0a7 Apnea in infants may be the only symptom<br>o Nursing interventions<br>\uf0a7 Educate client to get vaccinated while pregnant<br>\uf0a7 Increase fluids, promote coughing, proper positioning, chest physiotherapy<br>\uf0a7 Isolation precautions<br>\uf0b7 BRONCHIOLITIS<br>o Inflammation of the bronchioles and small bronchi- usually due to viral illness such as RSV<br>o Most common in children younger than 2<br>o Assessment<br>\uf0a7 Initially- rhinorrhea, intermittent fever, pharyngitis, coughing, sneezing, wheezing,<br>possible ear or eye infection<br>\uf0a7 With illness progression- increased coughing and sneezing, fever, tachypnea and<br>retractions, refusal to nurse or bottle feed, copious secretions<\/p>\n\n\n\n<p>\uf0a7 Severe illness- tachypnea (greater than 70\/min), listlessness, apneic spells, poor air<br>exchange, poor breath sounds, cyanosis<br>o Nursing Interventions<br>\uf0a7 Supplemental oxygen to maintain oxygen saturation equal to or greater than 90%<br>\uf0a7 Encourage fluid intake- oral fluids first, IV fluids until acute phase has passed<br>\uf0a7 Maintain airway<br>\uf0a7 Bronchodilators NOT recommended<br>\uf0a7 Nasopharyngeal suctioning as needed<br>\uf0a7 Avoid tobacco exposure<br>\uf0a7 Palivizumab- antibody injection that is recommended to prevent RSV<br>\uf0b7 EPIGLOTTITIS<br>o Inflammation of epiglottis- flap of cartilage that covers the opening to the larynx to keep<br>out food and fluid during swallowing<br>o EMERGENCY- does not allow the airway to stay open<br>o Assessment<br>\uf0a7 Symptoms<br>\uf0b7 Begin as mild URI, after 1-2 days inflammation spreads to epiglottis<br>\uf0b7 Child develops severe stridor, high fever, hoarseness, very sore throat<br>\uf0b7 Difficulty swallowing to the point that they are drooling, tongue may<br>protrude<br>o Nursing interventions<br>\uf0a7 Protect airway<br>\uf0a7 Avoid throat culture or using a tongue blade<br>\uf0a7 Prepare for intubation<br>\uf0a7 Provide humidified oxygen<br>\uf0a7 Monitor continuous oximetry<br>\uf0a7 Administer corticosteroids and IV fluids as prescribed<br>\uf0a7 Administer antibiotic therapy starting with an IV, then transition to oral (10-day<br>course)<br>\uf0a7 Droplet isolation precautions for first 24 hours after IV antibiotics initiated<br>Pediatric Cardiovascular Disorders<br>\uf0b7 Medications<br>\uf0b7 Chest tube management<br>o Keep system closed and below chest level<br>o Ensure suction control chambers are filled\/set to ordered amount of suction<br>o Monitor for bubbles- may indicate leak or air leak from patient\u2019s lungs<br>o Assess drainage- color\/consistency\/volume\/ bloodiness<br>o REPORT any drainage that changes<br>o Do NOT aggressively milk the chest tube- causes negative pressure<br>o Ensure adequate pain control<br>\uf0b7 PATENT DUCTUS ARTERIOSUS (PDA)<br>o Occurs when fetal shunt fails to close after several days of life- allows blood to flow from the<br>aorta through the PDA and into the pain pulmonary artery- Extra blood flow increases<br>pulmonary circulation<br>o Common in premature babies<br>o Assessment<br>\uf0a7 Systolic murmur at second intercostal space<br>\uf0a7 Congestion, increased work of breathing, difficulty feeding, failure to thrive<br>o Treatment<br>\uf0a7 Furosemide<br>\uf0a7 Increased feedings to help child gain weight<br>\uf0b7 COARCTATION OF THE AORTA<br>o Narrowing or constriction of the aorta- forces the heart to pump harder to get blood to aorta<br><\/p>\n\n\n\n<p>NUR 2513 Maternal-Child Nursing<\/p>\n\n\n\n<p>NUR2513 MCN Exam 2 Blueprint<\/p>\n\n\n\n<p>Post-Partum Care- Maternal<br>\uf0b7 Attachment\/Bonding<br>o Nursing assessment<br>\uf0a7 Normal findings<br>\uf0b7 Skin to skin contact after birth improves bonding between mother and baby<br>\uf0b7 Kissing infant<br>\uf0b7 Direct eye contact (en face position)<br>\uf0a7 Abnormal findings<br>\uf0b7 Complications of attachment\/bonding will increase with complications of a<br>pregnancy<br>\uf0b7<br>o Interventions to facilitate bonding<br>\uf0a7 Guided supportive interactions, such as pointing out positive parental behaviors and<br>infant responses<br>\uf0a7 Help parents sort out their feelings about being a new parent or about their new<br>responsibilities<br>\uf0a7 Use anticipatory guidance to strengthen parent-infant bonding<br>\uf0a7 Facilitate skin to skin contact<br>\uf0b7 Lochia<br>o Assessment<br>\uf0a7 Color (technical terms)- what does each color indicate?<br>\uf0b7 Lochia Rubra- Red- Day 1-3<br>o Blood, fragments of decidua, and mucous<br>\uf0b7 Lochia serosa- Pink- Day 3-10<br>o Blood, mucus, and invading leukocytes<br>\uf0b7 Lochia alba- white- Day 10-14 (may last 6 weeks)<br>o Largely mucus, leukocyte count high<br>\uf0a7 Abnormal Findings<br>\uf0b7 Odor: suggests that the uterus has become infected. Requires immediate<br>intervention<br>\uf0b7 Absence of lochia in days 1-3: indicates postpartal infection<br>\uf0a7 Normal Findings<br>\uf0a7 Volume- Normals\/Abnormals<br>\uf0b7 Fundal Assessment<br>o Technique<br>\uf0a7 One hand above belly button and other hand on symphysis pubis<br>o Location (how does it \u201cmove\u201d after delivery)<br>\uf0a7 Moves downward to the pelvis at 1 fingerbreadth per day<br>o Normal\/abnormal<br>\uf0a7 Normal: Firm<\/p>\n\n\n\n<p>\uf0a7 Abnormal: Boggy<br>\uf0a7 If fundus is boggy the nurse massage the fundus until it becomes firm<br>o Potential complications<br>\uf0a7 Nursing assessment<br>\uf0a7 Postpartum Hemorrhage<br>o Medications<br>\uf0a7 Oxytocin, methergine, hemabate, Cytotec<br>\uf0b7 BUBBLEHE<br>o Assessment<br>\uf0a7 Breasts- looking for redness, engorgement, and pain<br>\uf0b7 Looking at the nipples for cracking, redness, or bleeding<br>\uf0a7 Uterus (Fundus) \u2013 looking for location (noting the midline), or boggy<br>\uf0a7 Bladder- voiding or bladder distention<br>\uf0a7 Bowels- bowel function, auscultate bowel sounds, then palpate abdomen<br>\uf0a7 Lochia (vaginal drainage) \u2013 checking for bleeding, character, quantity, clots, or odor<br>\uf0a7 Episiotomy- assessing for approximation, edema, or ecchymosis<br>\uf0a7 Homans- dorsiflexion looking for DVT<br>\uf0a7 Emotional- birthing experience, how well they are bonding with the baby.<br>\uf0b7 Postpartum depression vs Baby blues<br>o Baby Blues: First Few postpartum days, peaks day 5, subsides over several days<br>\uf0a7 Symptoms: tearfulness, mood swings, insomnia, fatigue, anxiety, difficulty<br>concentration, irritability, poor appetite<br>o Assessment<br>o Postpartum Depression: appears around 2 weeks, must be referred for evaluation and<br>interventions<br>o Symptoms: Sleep, guilt, fatigue, feeling hopeless of worthless, suicidal<br>o Nursing interventions<br>\uf0a7 Edinburgh postnatal depression scale<br>\uf0b7 Discharge teaching<br>\uf0b7 Laceration\/Episiotomy<br>o Assessment- Normal\/Abnormal<br>\uf0a7 REEDA<br>\uf0a7 Redness, edema, ecchymosis, discharge, approximation of skin<br>\uf0a7 ALWAYS CHECK: episiotomy, tearing, hematoma formation, hemorrhoids<br>o Nursing interventions<br>\uf0a7 Clean perineum using warm with every bathroom<br>\uf0a7 Ice to perineum for 1st 24 hours<br>\uf0a7 Sitz bath after first 24 hours<br>\uf0a7 Medications (oxycodone\/acetaminophen, ibuprofen, lidocaine spray)<br>\uf0b7 Postpartum infections<br>o Assessment findings<br>o Nursing interventions<br>\uf0b7 Postpartum hemorrhage<br>o Signs\/symptoms \u2013 blood loss greater than 500cc or 1000cc during c-section, boggy fundus,<br>tachycardia, hypotension, pale, alterations in mental status<br>o Nursing interventions \u2013 massage fundus, straight cath if needed, fluid bolus to correct<br>hypotension, Oxtytocin or methergine, hemabate, or Cytotec should be given<br>\uf0b7 Lactation\/Breast care<br>o Assessment findings-Normal\/Abnormal<br>o Common problems-mastitis, plugged milk ducts, etc.<br>o Nursing interventions<br>o Breastfeeding<br>\uf0b7 Post-Partum Preeclampsia<br>o Assessment findings<\/p>\n\n\n\n<p>NUR 2513 Maternal-Child Nursing<\/p>\n\n\n\n<p>NUR2513 MCN Exam 1 Blueprint<\/p>\n\n\n\n<p>Describe the Evolution and Trends of Maternal-Child Healthcare<br>\uf0b7 Current trends influencing maternal-child healthcare<br>o Families contain fewer members<br>o The number of single-parent families is increasing<br>o 90% of women in the US work outside their home<br>o Increase in # of homeless women &amp; children<br>o Both child and intimate partner violence is increasing<br>o Cost of healthcare is increasing<br>o Health care must respect cost containment by creating \u201chealthcare homes\u201d<br>o Patient advocacy is necessary as it is easy for families to feel lost in healthcare<br>o Resources<br>o Family dynamics<br>\uf0a7 Identify culture \u2013 Black &amp; Hispanics are more likely to be single parents<br>\uf0a7 Determine family structure and how family cultivates bonding and communication<br>\uf0a7 Plan of care should address boundaries and coping mechanisms within the family<br>Compare Methods of Reproductive Planning and Contraception<\/p>\n\n\n\n<p>Assessment for options:<br>\uf0b7 Assess personal values, ability to use method correctly, if method will affect sexual<br>enjoyment, financial factors, relationship long term vs short term, prior experiences with<br>contraceptives, future plans<br>\uf0b7 Types<br>o Natural Family Planning (NFP): method that involves identifying the fertile period<br>and avoiding intercourse during that time every cycle<br>\uf0a7 AKA as calendar rhythm method<br>\uf0a7 Maintain diary: accurately record # of days in each cycle; count from 1st day<br>or menses for a period of at least 6 menstrual cycles<br>\uf0a7 Start of fertile period Is figured by subtracting 18 days from the # of days in<br>the shortest cycle<br>\uf0a7 End of fertile period is calculated by subtracting 11 days from the # of days of<br>the longest cycle<br>\uf0a7 Most useful when combined with basal body temp method<br>\uf0a7 Disadvantage: requires accurate recording; adherence of abstinence during<br>fertile periods<br>o Fertile Awareness-Based method (FAMs): includes identifying the fertile time<br>during the cycle and use abstinence or other contraceptive methods during fertile<br>periods. May interfere with sexual spontaneity and require several months of<br>symptom\/cycle charting for they may be used effectively<\/p>\n\n\n\n<p>o Basal Body Temperature: taking a women\u2019s temp each morning and look for a rise<br>of 0.5-1 degrees \u2013 increase in temp is evidence that ovulation has occurred (24-36<br>hrs prior)<br>\uf0a7 Take temp immediately after waking; if working night, take temp after<br>awakening from the longest sleep cycle<br>\uf0a7 1st day temp drops or elevates is considered the 1st fertile day \u2013 extends for 3<br>days<br>o Coitus Interrupts: also known as withdrawal method<br>\uf0a7 Be aware that pre-cum fluid can leak from the penis prior to ejaculation<br>\uf0a7 LEAST effective methods of BC \u2013 does not protect against STIs<br>o Lactation Amenorrhea Method: an infant is under 6 mo; being breastfed every 4<br>hours during the day and every 6 hrs at night, receives no supplement feeding and<br>menses has not returned<br>o Cervical mucus ovulation detection method: AKA Billings method<br>o Abstinence: no sex \u2013 most EFFECTIVE form of BC<br>\uf0a7 Can eliminate risk of STIs<br>\uf0a7 Disadvantages: requires self-control, high failure due to lack of adherence<br>o Barrier Methods:<br>\uf0a7 Diaphragm: not recommended for pts who have history of TTS, cystole,<br>uterine prolapse or UTIs<br>\uf0b7 Circular rubber disk placed over cervix before intercourse to halt<br>passage of sperm<br>\uf0a7 Cervical cap; insert 6 hr before sex and leave for 6hr after; not recommended<br>for pts who have abnormal pap test results or history of TTS<br>\uf0a7 condoms (male\/female), spermicides \u2013 insert 12 min before intercourse; only<br>effective for 1 hour after insertion; should not be removed for 6 hours<br>o Hormonal methods: transdermal patch, orals, vaginal rings<br>\uf0a7 Routine pap and breast exam might be needed<br>\uf0a7 Observe for ACHES \u2013 chest pain, SOB, leg pain (DVT), headache, vision<br>changes (stroke), HTN<br>\uf0a7 If miss dose; take on as soon as possible<br>\uf0a7 Take at bed if nausea occurs<br>\uf0a7 Use in caution with pts who have history of thrombus disorder, stroke, heart<br>attack, diabetes, smoking<br>\uf0a7 Decrease when taken with meds that affect liver enzymes (antibiotics,<br>antifungals, anticonvulsants)<br>\uf0a7 Progestin-only pills: take pill at same time everyday; DO NOT miss pill<br>o Emergency Contraception: hormone or copper releasing IUD, EC plan B, and<br>generic forms available OTC<br>\uf0a7 Take pill within 72 hours of unprotected sex<br>\uf0a7 DOES not terminate established pregnancy<br>\uf0a7 Contraindicating in pts with distorted shaped uterus, women with severe<br>dysmenorrhea or menorrhagia (long painful periods)<br>o Depo-Provera: injected every 3 months \u2013 reversible after 10 months<br>\uf0a7 Causes temporary reduction in bone mineral density<br>\uf0a7 SE: irregular bleeding, weight gain, depression, headache, breast tenderness<br>\uf0a7 SAFE for breast-feeding mothers<br>\uf0a7 Can impair glucose tolerance in pts with diabetes and increase risk for pts<br>that don\u2019t<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This Bundle consists of 4 (four) sets of Exam Blueprint | Exam 1, 2 &amp; 3 | NUR 2513 \/ NUR2513 Maternal Child Nursing \/ MCN &#8211; Rasmussen University NUR 2513 Maternal-Child NursingExam 1 BlueprintModule 1:\uf0b7 Nursing roles in the maternal-child healthcare environmento Scope of practice include:\uf0a7 Preconception health care\uf0a7 Care of women during three [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114709","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114709","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114709"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114709\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}