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COMMUNITY HEALTH NURSING > ARTIFICIAL FAMILY PLANNING > Flashcards

ARTIFICIAL FAMILY PLANNING Flashcards

(65 cards)

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1
Q

*Inhibition of ovulation
* Makes cervical mucus thick and scanty
* Prevention of implantation
*Inhibition of capacitation

A

hormonal contraceptives

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2
Q
  • are progestin only or a
    combination of progestin and
    estrogen, the daily intake of
    which prevents pregnancy.
  • For women 18-35 years of
    age
  • For women with heavy &
    painful menstruation
A

oral contraceptive pills

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3
Q

how many day packets in oral contraceptive pills?

A

21 / 28 - combination type
35 - progestin only type

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4
Q

Oral contraceptive pills are highly effective (___%) when taken regularly

A

99.7%

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5
Q

true or false - there is spotting in between menses when taking oral contra pills

A

true

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6
Q

true or false - emotional irritability and weight gain is a side effect of oral contra pills

A

true

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7
Q

4 kinds of of combined oral contraceptive pills / COCP?

A
  • monophasic low dose
  • biphasic
  • triphasic
  • morning-after
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8
Q
  • with 21 active tablets
  • with fixed concentration of estrogen
    & progestin
  • Examples: Logentrol, Marvelon, Trust
A

Monophasic low-dose pills

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9
Q
  • estrogen remains the same
    throughout the cycle
  • less progestin in 1 st half & increased in 2nd half
  • Example: Gracial
A

Biphasic pills

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10
Q
  • contains lower hormonal content
  • with both estrogen & progestin in
    different amounts
  • Examples: Logynon, Triquilar
A

Triphasic Pills

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11
Q
  • a.k.a. Post-coital contraception pills or Emergency contraceptive pills (ECPs)
  • act both to prevent ovulation or fertilization)
A

Morning After PIlls

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12
Q

example of progestin only pills

A

excluton

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13
Q

true or false - pills can be given to those who experience migraine and blood clotting disorders

A

false

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14
Q

true or false - it is ok to smoke when taking pills

A

false

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15
Q

During lactation, COCPs should be withheld until ___ months after delivery or until the infant is weaned,
whichever comes earlier

A

6

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16
Q

Women using ___ and ___, reduce
the effectiveness of the pills, should be prescribed the
50 mcg estrogen pills

A

rifampicin and anticonvulsants

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17
Q

After the third month of use of pills, check ___ and ___
of the client.

A

BP and weight

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18
Q

The pills should be taken ___ daily preferably at the same time of the day

A

per orem

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19
Q

Initial dose should be taken at day ___ or at any day from
day 1 to day 5 of the menstrual cycle; then 1 tablet daily
until the contents of the whole packet are consumed

A

day 1

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20
Q

Clients using the 28-day packet should start a new packet
on the ___

A

next day

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21
Q

Those using the 21-day packet should start a new packet
after ___

A

a 7 day rest period

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22
Q

what to do if you miss one pill?

A

take it as soon as she remembers, and take another at the usual time. (ok lang kahit 2 per day!)

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23
Q

what to do if you miss 2-4 pills on the first 14 days?

A
  • take the recently missed pill as soon as she remembers
  • discard the other missed pills
  • continue the packet
  • avoid coitus for 7 days
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24
Q

what to do if you miss 2-4 pills on the 15th-21st days?

A
  • take the recently missed pill as soon as she remembers
  • discard the other missed pills
  • continue the packet
  • avoid coitus for 7 days

++ RETURN TO FP CLINIC FOR CONSULTATION

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25
what to do if you miss 4 or more pills?
- counsel the client that this method is not for them - assist to choose another method
26
ACHES symptoms = consult immediately, what is ACHES?
- abd pain (severe) - chest pain or SOB - headaches (severe) - eye problems - blurred vision - severe leg or arm pain or numbness
27
* A transdermal patch applied to the skin that releases synthetic estrogen and progestin hormones to prevent pregnancy.
contraceptive patch
28
where is the patch typically worn?
- lower abd - upper outer arm - buttocks - thigh
29
how long do you wear a patch?
- worn for one week - changed at the same day every week - 3x per month only, 4th week is patch free
30
example of contraceptive patch?
ortho evra
31
* a steroidal hormone resembling the female hormone called progesterone. * It is injected intramuscularly deep into the upper outer quadrant of the buttock or the deltoid area of the arm.
progestin-only injectables
32
injectables are ___% effective
99
33
brands of injectables available
1 mL 150 mg - Depo-Medroxyprogesterone Acetate (Depo-Provera) 3 mL 150 mg DMPA (Depo Trust) 1 mL ampule 200 mg Norethisterone enanthate (Noristerat)
34
one of the advantages of injectables is that it helps prevent cancer of the ___ and ___
uterus and ovaries
35
when getting injectables, return to fertility is delayed – average is about ___ months from the last injection
10
36
when to give DMPA?
- within first 7 days of menses - within first 14 days after abortion - within first 28 days after delivery if not BF - between 6 weeks and 6 months for fully BF even if she is amenorrheic
37
warning signs of injectables
- heavy bleeding > 7 days - delayed menses - migraine - severe abd pain - frequent urination
38
inserted under the skin in the woman’s upper arm or forearm though a minor surgical procedure under local anesthesia, which releases progestin at a controlled rate
subdermal implants
39
viability: The 6 – capsule levonorgestrel implant system (Norplant®)
7 years
40
viability: The 2 – rod system containing 75 mg of levonorgestrel (Jadelle®)
5 years
41
viability: The single – rod system (Implanon®), which releases etonogestrel
3 years
42
true or false - subdermal implants are reversible and fertility returns almost immediately after removed
true
43
true or false - subdermal implants have side effects such as nausea and vomiting
false
44
true or false - subdermal implants help prevent iron-deficiency anemia and reduces risk of ectopic pregnancies and endometrial cancer
true
45
Small flexible devices made of metal and/or plastic or silastic inserted inside the uterine cavity to prevent pregnancy
intrauterine device
46
IUD is ___% effective
99.4
47
* Prevents fertilization *Inhibits sperm migration in the upper female genital tract *Inhibits ovum transport and fertilization
IUD
48
true or false - The IUD, copper T380-A, can be inserted any time during the cycle.
true
49
who inserts the IUD?
- doctors - PHN - midwife
50
Client’s check up / follow up – ___ months after insertion, and once a year thereafter
1, 6, and 12
51
warning signals of IUD (PAINS)
- periods late with sx of pregnancy - abd pain or dyspareunia - infection, abnormal discharge - not feeling well, fever, chills - string missing, shorter, or longer
52
barrier method - Creams, Jellies, Foams, Suppositories, Tablets
spermicides
53
spermicides Can be used as early as ___ minutes before sex to avoid interruption
15
54
* Dome shaped shallow rubber cap inserted in the vagina * Should be left for 6 hours * Requires the use of contraceptive cream, jelly or foam
diaphragm
55
diaphragm method is ___% effective with perfect use
94
56
2 mechanism of action of diaphragm
- blocks the sperm - acts as spermicide
57
Cap-shaped device made of soft rubber that fits over the cervix * Also uses spermicide
cervical cap
58
cervical cap method is ___% effective when perfectly used by parous women
74
59
cervical cap Can be inserted ___ hours or more prior to sex act
6
60
* Thin rubber sheath worn on erected penis * different colors and flavors * 98% effective
male condom
61
A thin sheath (polyurethane plastic), (7-8 cm in diameter and 17 cm long.) 95% effective
female condom
62
➢ tying, cutting or blocking the fallopian tube ➢ 10-15 min operation ➢ Ovum is trapped out of the fallopian tube
bilateral tubal ligation
63
bilateral tubal ligation procedure after a woman gives birth is called?
Minilaparotomy
64
➢Blocking / tying or cutting of the vas deferens ➢15-30 ejaculation thereafter to achieve a zero sperm count ➢99.9% effective
vasectomy
65
vasectomy is Very effective ___ months after the procedure
3

COMMUNITY HEALTH NURSING (7 decks)

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