Page 872 - Saunders Comprehensive Review For NCLEX-RN

C. Adverse effects: Rash, fever, erythema, and pain at injection site

D. Interventions

1. Parental consent must be obtained.
2. Administer intramuscularly in the lateral aspect of the
middle third of the vastus lateralis muscle.
3. If the infant was born to a mother positive for hepatitis
B surface antigen, hepatitis B immune globulin
should be given within 12 hours of birth in addition
to hepatitis B vaccine. Then follow the regularly
scheduled hepatitis B vaccination schedule.
4. Document immunization administration on a
vaccination card so that the parents have a record that
the vaccine was administered.
XIV. Contraceptives
A. Description
1. These medications contain a combination of estrogen
and a progestin or a progestin alone and come in
several different forms, including oral and
intramuscular preparations and implants.
2. Estrogen-progestin combinations suppress ovulation
and change the cervical mucus, making it difficult for
sperm to enter.
3. Medications that contain only progestins are less
effective than the combined medications.

4. Contraceptives usually are taken for 21

consecutive days and stopped for 7 days; the
administration cycle is then repeated.
5. Contraceptives provide reversible prevention of
pregnancy.
6. Contraceptives are useful in controlling irregular or
excessive menstrual cycles.

7. Risk factors associated with the development

of complications related to the use of contraceptives
include smoking, obesity, and hypertension.

8. Contraceptives are contraindicated in women

with hypertension, thromboembolic disease,
cerebrovascular or coronary artery disease, estrogen-
dependent cancers, and pregnancy.
9. Contraceptives should be avoided with the use

of hepatotoxic medications.
10. Contraceptives interfere with the activity of

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