being in the sexually aroused state (which thins the mucus)
and taking medications such as antihistamines (which dry the mucus). Intercourse is considered safe without restriction beginning the fourth day after the last day of wet
and taking medications such as antihistamines (which dry the mucus). Intercourse is considered safe without restriction beginning the fourth day after the last day of wet
the spermicide should be inserted high into the vagina so it makes contact with the cervix. Spermicide must be reapplied for each additional act of intercourse
thin plastic); or natural membranes (animal tissue). In addition to providing a physical barrier for sperm
but no data are available for effectiveness after 120 hours (Rivlin & Westhoff
2017). IUDs offer constant contraception without the need to remember to take pills each day or engage in other manipulation before or between coital acts. If pregnancy can be excluded
prevention of or early identification and treatment of infection or hemorrhage
and effective birth control. Family planning is the conscious decision about when to conceive or to avoid pregnancy throughout the reproductive years. Contraception is defined as the intentional prevention of pregnancy during sexual intercourse. Birth control is the device and/or practice used to decrease the risk for conceiving or bearing offspring.
and STIs and her sexual partner’s commitment to any particular method. Fig. 5.6 illustrates contraceptive counseling. The nurse obtains information about the frequency of coitus
and oral contraceptives lower the incidence of ovarian and endometrial cancer.
or latex gloves and pick up all broken pieces and place on a paper towel. Put the folded paper towel with the contents in it securely into a zip-lock bag
Risk Reduction Efforts in Your CommunityThe role of the fire officer has changed quite a bit over the last century. From a historic perspective, the fire department of the 20th Century has been retooled into the ESO of today, and the organizational structure has expanded as well. Still, with all of these changes, the lines of authority have remained the same. Many of these changes […]
develop out of the trophoblast and extend into the blood-filled spaces of the endometrium. These villi are vascular processes that obtain oxygen and nutrients from the maternal bloodstream and dispose of carbon dioxide and waste products into the maternal blood.
the amnion enlarges to accommodate the embryo/fetus and the surrounding amniotic fluid. The amnion eventually comes in contact with the chorion surrounding the fetus (see the Critical Reasoning Case Study).
and one vein returns blood to the embryo. Approximately 1% of umbilical cords contain only two vessels: one artery and one vein. This occurrence is sometimes associated with congenital malformations (Kaiser Permanente
secrete pulmonary surfactants to line the interior of the alveoli. After 32 weeks
is used to determine fetal lung maturity. When the L/S ratio reaches 2_:_1
and the gallbladder. These structures evolve during the fifth and sixth weeks. Malformations that can occur in these areas include esophageal atresia
et al. [eds.]. Creasy & Resnik’s maternal-fetal medicine: Principles and practice [7th ed.] Philadelphia
specifically from days 15 to 60. During the first 2 weeks of development
and then the cells are dropped onto a slide. This breaks the cell membranes and spreads the chromosomes
which is always fatal). Some malformations occur more often in one sex. For example
are autosomal recessive inherited disorders. IEMs occur when a gene mutation reduces the efficiency of encoded enzymes to a level at which normal metabolism cannot occur. Defective enzyme action interrupts the normal series of chemical reactions from the affected point onward. The result may be an accumulation of a damaging product
advanced practice genetics nurse specialists. Cytogeneticists
or 1 in 2. If two individuals affected by an autosomal recessive disorder mate
is one of the most emotional components of health care. It has been the most controversial social issue in the last half of the twentieth century and continues to be so today. Regulations exist to protect the mother from the complications of abortion.
one primary oocyte matures and completes the first meiotic division
of any attitudes and beliefs that may interfere with essential job functions. Levi and colleagues (2015) describe why they choose to provide abortion services and why this is an important role for nursing.
is produced within 3 days and is still surrounded by the protective zona pellucida (Fig. 6.7
and chills. These are attributed to misoprostol and usually subside in a few hours after administration.
and postoperative monitoring. Disadvantages of D&E include possible long-term harmful effects on the cervix.
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