Contraception

Question 1

What type of contraceptive counseling should you give?

Answer 1

Individualized, not a lecture

Question 2

What are things to consider when guiding decision making?

Answer 2

When she wants to conceive, efficacy, duration, timing, side effects, safety, what concerns her

Question 3

What could impact contraception choice?

Answer 3

motivation, cost, cultural/religious, convenience, effectiveness, side effects, STI protection

Question 4

What is the most important factor in the decision?

Answer 4

effectiveness

Question 5

What prior knowledge should you assess?

Answer 5

past contraceptive use and myths/misconceptions

Question 6

Begin with what is

Answer 6

most important to her

Question 7

What should the nurse make sure?

Answer 7

they know all about the methods available to them

Question 8

What should the enurse educate and ensure when a method has been chosen?

Answer 8

proper use of method and appropriate follow-up care

Question 9

What makes a contraception good?

Answer 9

effectiveness, cost, ease of use, convenience, few side effects, reversability

Question 10

What are the most effective contraceptive methods?

Answer 10

Implant, vasectomy, female sterilization, IUC

Question 11

Failure rate mean

Answer 11

The percentage indicates the number out of every 100 women who experienced an unintended pregnancy within the first year of typical use of each contraceptive

Question 12

What are the 2 types of birth control?

Answer 12

hormonal and non-hormonal

Question 13

What are some examples of hormonal birth control?

Answer 13

oral contraceptive (pills), injection, patch, ring, certain IUD’s (mirena, skyla), implant (Nexplanon)

Question 14

What are some examples of non hormonal birth control?

Answer 14

Paragard IUD, condoms, diaphragm/sponge, natural family planning, withdrawal`

Question 15

birth control pills

Answer 15

long lasting, not permanent, alters woman’s hormones, no STI protection, doesn’t work with antibiotics

Question 16

What birth control pills should breastfeeding woman take

Answer 16

progesterone only

Question 17

What birth control pills should woman over 35 who smoke take?

Answer 17

progesterone only

Question 18

Depo provera injecction

Answer 18

progesterone only, every 12 weeks, bone loss potential, unclear is reversible

Question 19

Nuvaring

Answer 19

flexible, soft ring inserted into vagina for 3 weeks, then a ring free week, absorbed directly in blood stream, same hormones as OC

Question 20

Patch

Answer 20

prevents ovulation, estrogen and progestin, 3 weeks on then patch free, absorbed directly into blood stream, higher compliance

Question 21

Where would you place a patch?

Answer 21

lower abdomen, upper outer arms, buttocks, upper torso

Question 22

Implant (Nexplanon)

Answer 22

releases steady dose of progestin into your body to prevent ovulation and thicken the mucus of woman’s cervix

Question 23

Details if implant

Answer 23

3 years protection, single rod, minor surgery to insert and remove

Question 24

Side effects if implant

Answer 24

irregular bleeding, headaches, weight gain, breast tenderness, depression

Question 25

Contraindications to implant

Answer 25

known or suspected pregnancy, active DVT, severe hepatic disease, personal hx of breast cancer, inability to tolerate irregular menses

Question 26

Why are long acting reversible contraceptives beneficial?

Answer 26

They are not user dependent

Question 27

What are the 3 IUD's

Answer 27

Mirena, Skyla, paragard

Question 28

How does paragard differ from the other two IUD's

Answer 28

no hormones

Question 29

Paragard (Copper IU system)

Answer 29

10 years of use, emergency contraception, no hormones

Question 30

What does a copper IUD do?

Answer 30

prevents fertilization, impairs the viability of the sperm, interferes with sperm movement Copper IUD in uterus

Question 31

Skyla

Answer 31

smaller than mirena, 3 year usage, good for woman who has never given birth

Question 32

MIrena

Answer 32

5 years, amenorrhea occurs in 20% of users

Question 33

What does mirena do?

Answer 33

inhibits sperm from reaching/fertilizing the egg, things uterine lining, thickens cervical mucus to prevent sperm from entering uterus

Question 34

Barrier methods

Answer 34

diaphragm, cervical cap, condoms, sponge

Question 35

Diaphragm

Answer 35

soft latex dome surronded by metal ring, use with jelly

Question 36

Timing of diaphram

Answer 36

insert up to 4 hours before intervourse and leave in 6 hours after

Question 37

What is tubal ligation

Answer 37

fallopian tubes are grasped and sealed with cautery or with rings, bands, or clips, then cut and tied

Question 38

Emergency contraception needs to be used

Answer 38

within 72 hours of unprotected intercourse