ATI MATERNAL PROCTORED EXAM RETAKE GUIDE- UPDATED EXAM REVIEW Transcervical Sterilization - Essure o Insertion of small flexible agents through the vagina and cervix the fallopian tubes o Resultin... g in the development of scar tissue in the tubes preventing conception o Examination must be done within 3 months to ensure fallopian tubes are blocked - Instruction o Normal activities may be resumed by most clients with 1 day of the procedure - Advantages o Quick procedure that requires no general anesthesia o Essure is 99.8% effective in preventing pregnancy o Rapid return to normal activities of daily living - Disadvantages o Not reversible o Not intended for use in the client who is postpartum o Delay in effectiveness for 3 months ▪ Alternative birth control is needed o Change in menstrual patterns - Risk o Perforation can occur o Unwanted pregnancy can occur within the first 3 months after procedure o Increased risk of ectopic pregnancy if pregnancy occurs Surgical Methods - Female sterilization o Severance or burning or blocking the fallopian tubes to prevent fertilization - Procedure o The cutting, burning or blocking of the fallopian tubes to prevent the ovum from being fertilized by the sperm - Advantages o Permanent contraception - Disadvantages o Complications, infection, hemorrhage or trauma o Considered irreversible if a client desires conception - Risk o Ectopic pregnancy if pregnancy occurs Vasectomy - Male sterilization o Ligation and severance of the vas deferens - Procedure o Cutting of the vas deferens in the male as a form of permanent sterilization ▪ Use alternative form of birth control for approximately 20 ejaculations or 1 week to several months to allow all of the sperm to clear ▪ This will ensure complete male infertility - Client instruction o Use scrotal support and moderate activity for a couple of days o Sterility is delayed until the proximal portion of the vas deferens is clear or all remaining sperm (20 ejaculations) o Alternate form of birth control must be used until the vas deferens is cleared of sperm o Follow up is important for sperm count - Advantages o Permanent contraceptive method o Procedure is short, safe and simple - Disadvantages o Requires surgery o Considered irreversible - Risk o Complications are rare ▪ Bleeding, infection and anesthesia reaction Infertility - Inability to conceive despite engaging in unprotected sexual intercourse for a prolonged period or at least 12 months - Diagnostic procedures o Semen analysis (40%) ▪ This is the first test ran in an infertility workup (less expensive) ▪ May need to be repeated o Pelvic examination ▪ Assess for uterine or vaginal anomality’s o Hysterosalpingography ▪ Radiological procedure in which dye is used to assess the patency of the fallopian tubes ▪ Assess for allergies to iodine and seafood o Hysteroscopy ▪ Uterus is examined for signs of defect, distortion or scar tissue that may impair successful impregnation ▪ Assess for allergies to iodine and seafood o Laparoscopy ▪ Gas insufflation under general anesthesia is used to observe internal organs Normal changes during pregnancy - Signs of pregnancy CONTINUED...................DOWNLOAD FOR BEST REVISION GUIDE [Show More]
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