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NUR 359: OB > Contraception > Flashcards

Flashcards in Contraception Deck (90):
1

def contraception

intentional prevention of pregnancy

2

def birth control

the device or practice to decr the risk of conceiving

3

what is family planning

the conscious decision on when to conceive or avoid preg

4

contraception methods should be....

safe
readily avail
economical
acceptable
simple to use

5

the safety of a contraception method depends on

a womans med hx

6

name the contraception methods

-coitus interruptus
-FAM ( Fertility awareness method)
-Barrier Methods
-Hormonal Methods
-Eemergency Contraception
-IUD
-Sterilization

7

what is coitus interruptus

aka withdrawal
withdrawing before ejaculation

8

what is the failure rate for coitus interruptus

27%

9

what do FAM's rely on

avoidance of intercourse during fertile periods

10

FAM's combine...

charting the menstrual cycle with other contraceptive methods

11

what is the only contraception accepted by the RC Church

FAM

12

name the FAM methods

natural family planning
calendar rhythm method
standard days method
basal body temp method
cervical mucus ovulation detection method
symptothermal method
predictor test for ovulation
two day method
lactation amenorrhea method

13

what is natural family planning method

abstaining from intercourse when the woman knows she is ovulating/fertile

14

what is the calendar rhythm method

when a woman determines the beginning and end of their fertile periods and avoid intercourse in those days

15

how do you use the calendar rhythm method?

-subtract 18 days from length of the shortest cycle
-subtract 11 days from length of a normal cycle

16

what is the standard days method

couples abstain from sexual intercourse from day 8-19 of womans cycle

17

what is the basal body temp method

-when woman tracks her bbt daily before getting out of bed
-ovulation occurs with increase in temp
-wait until 3 days after temp increases to have sex

18

what is the cervical mucus ovulation detection method

-when a woman monitors her cervical mucus
-cervical mucus indicates fertility when it spreads in bx 2 fingers and has a texture of egg whites
-indicates fertility for 3-4 days

19

what is the symptothermal method

a combo of BBT, cervical mucus, and symptom awareness such as cervical softness, midcycle cramps, and breast sensitivity

20

t/f- some women use ovulation kits as contraception

true

21

why do some women use ovulation kits for contraception

-lack of health insurance
-unable to get regular BC
-keep BC a secret from family

22

what is the 2 day method

-similar the cervical mucus method
- if a woman notices changes in secretions either today or yesterday, she would consider herself fertile and should abstain from sex

23

if relying on the lactation method, what hormone is the main player and how does it work

-prolactin
-it surges and inhibits ovulation

24

the lactation method is most effective when

-mom is exclusively nursing w/ no supplementation/bottles
-baby is less than 6 months old
-feedings > 4 hrs during the day
-feedings < 6 hrs at night

25

what is the failure rate for the lactation method if used correctly

2%

26

if a woman gets pregnant while nursing, what will happen and why

- breatsmilk may dry up or decr in amt
-hormones in pregnancy (estrogen) act antagonistically to breastmilk

27

factors that could change a menstrual cycle

change in exercise
wt loss/gain
stress
traveling
preg

28

if a woman is not in monogamous rship, what contraception method is best

barrier method

29

what does antihistamine do to cervical mucus

dries it up

30

what is spinnbarkeit

the length that cervical mucus stretches

31

name the barrier methods

spermicides
condoms- m/f
diaphragm
cervical cap
contraceptive sponge

32

what is the success rate of using condoms

99%

33

what contraceptives must be fitted

diaphragm
cervical cap

34

the diaphragm can stay in for how long

6 hrs before intercourse
6 hrs after intercourse

35

you cannot leave a diaphragm in longer than

8 hrs

36

why is leaving a diaphragm in for too long a concern

toxic shock syndrome

37

why are diaphragms no longer an ideal form of BC

can be difficult to put in/ take out

38

how long can a cervical cap stay in for?

up to 48 hrs

39

what is the failure rate for the cervical cap

48%

40

a contraceptive sponge provides protection for how long

24 hrs

41

contraceptive sponge contains what

spermicide

42

how do you use a contraceptive sponge

run under water

43

what is the failure rate for contraceptive sponge

20-40%

44

name hormonal BC methods

-COC's
-Progestin only Contraceptives

45

name the COC's

- Oral Cont
- transdermal
- vaginal ring

46

COC's contain what hormones

progesterone
estrogen

47

how do COC's work

inhibit ovulation, no egg released

48

when woman stops taking COV's how quickly do they become fertile?

almost immediately,but fertility is slightly decreased

49

after a woman stops taking COC's, when do they resume regular periods

within 3-12 months

50

what can happen to a womans cycle after they stop taking a hormonal contr

- may have a new normal menstrual cycle

51

if a woman taking a COC misses one day, what can they do

take 2 pills the next day

52

if a woman taking COC misses 2 days, what should they do

start a new pack and use back up BC such as barrier

53

which women is COC contra-indicated in

-breastfeeding women bc estrogen dries up milk
-over 35 and smokes bc they have an incr risk of clots
-migrain w/ auras due to incr risk of stroke/TIA
-high BP

54

what meds may decr the effectiveness of COC's

some abx
HIV meds

55

COC's and morbidly obese women

-may not be appropriate form of BC or may need a higher dose

56

how does the vaginal ring work?

in for 3 wks, out for 1

57

women with vaginal rings report incr incidences of what?

bacterial vaginosis

58

if a woman has a hx of coag problems, what BC methods would be best for them

depo
barrier

59

name the progestin only contraceptives

minipill
injectable (depo)
implantable (norplant)

60

the mini pill is ____ effective than COC's

less

61

what is the failure rate among the mini pill

8%

62

women on the mini pill must take the pill when?

at the same time each day

63

women on the mini pill report

midcycle bleeding

64

the benefit of progestin only contr

less side effects

65

why can't women with a hx / fam hx of breast cancer take COC's

-COC's contain estrogen
-estrogen feeds some forms of cancer

66

how often do pts need to get depo shot

q 11-13 wks

67

how is depo administered

IM

68

what long term effects are a/w depo

bone loss

69

emergency contr must be used within what amt of time

72 hrs

70

emergency contr contains what

high dose of estrogen

71

what is an IUD

a small- t shaped device into the uterine cavity

72

what are IUD's comprised of

copper
or
progestin

73

draw backs of IUD's

no protection against STI/STD's

74

what is the copper IUD called

paraguard

75

what is the progestin IUD called

mirena

76

which IUD is more popular

mirena

77

how often does mirena need to be changed

q 5 yrs

78

how often does paraguard need to be changed

q 10 yrs

79

reported side effects with mirena

h/a
ovarian cysts
amenorrhea
-similar to the mini pill

80

reported side effects w/ paraguard

extra cramping and bleeding for the first year, but goes away

81

a woman cannot have the paraguard if they have what disease

wilsons disease- allergy to copper

82

if a woman is not in a monogamous rship, is IUDa good choice for them

no

83

if you get pregnant with an IUD, it can cause

SAB

84

do we remove the IUD if a woman becomes pregnant

no

85

after removing the IUD, fertility resumes back to normal

within a few months

86

what TOP

termination of pregnancy

87

def abortion

purposeful interruption of preg before 20 wks of gest

88

first trimester abortion methods

-surgical (aspiration)
-methotrexate/misoprostol
-mifepristone/misoprostol

89

second trimester abortion methods

-dilation and evacuation
-prostaglandins
-hypertonic and uterotonic agents

90

most common complications of induced abortions

infec
retained products of conception
excessive vaginal bleeding