Contraception/Women's Health Flashcards Preview

ADT Module 5-8 > Contraception/Women's Health > Flashcards

Flashcards in Contraception/Women's Health Deck (86)
1

Normal range of menses is ___-___ days w/avg of ___.
Normal duration is ___-___ days w/avg of ___.
Normal blood loss is ___-___ ml w/avg of ___-___.

21-35, 28
2-6, 4
20-80, 30-35

2

___ is the absence of a period for 3 or more months in women w/past menstruation.

amenorrhea

3

___ is diminished menstrual flow (spotting)

hypomenorrhea

4

___ is bleeding > 35 day intervals.

oligomenorrhea

5

___ is painful periods

dysmenorrhea

6

___/___ is bleeding at regular intervals but marked w/prolonged bleeding > 7 days or excess of 80cc.

menorrhagia/hypermenorrhea

7

___ is irregular but frequent uterine bleeding in variable amts.

metrorrhagia

8

___ is uterine bleeding occurring irregularly in frequency and excessive in amt.

menometrorrhagia

9

___ is uterine bleeding occurring at intervals < 21 days.

polymenorrhea

10

___ is bleeding of variable amts occurring btwn regular menses.

intermenstrual

11

___ is any bleeding occurring more than 1 yr following menopause.

postmenopausal

12

___ is bleeding occurring after sexual intercourse

post-coital

13

___ is bleeding any time during a cycle outside of menses while on hormones.

breakthrough bleeding

14

___ is bleeding occurring when estrogen is withdrawn.

withdraw bleeding

15

About 90% of dysfunctional bleeding (DUB) is ___, which is menses < ___ days or > ___ days.

anovulatory, 21, 35

16

___ abnormal uterine bleeding is d/t ectopic and threatened abortion, infection, polyps, fibroids.

Organic

17

___ abnormal uterine bleeding is r/t ___ axis and typically d/t medications, IUD, and sexual trauma.

Systemic, hypothalamic-pituitary-ovarian

18

___ ___ are considered to be the gold standard in contraception. It decreases risk for ___ CA and supplies ___ to our bones.

oral contraceptives, ovarian, Ca+

19

Progesterone has a ___-___ metabolism where it is metabolized by the ___ after absorption from the ___ before it reaches the ___.

first-pass, liver, intestine, bloodstream

20

First-generation progestins include: ___. They have a decreased ___ effect, so they work well for ___ pt's.

norethynodrel, norethindrone, norethindrone acetate, ethynodiol diacetate, progesterone, diabetic

21

Second-generation progestins include:___. They have a longer ___-___ and are associated w/___ s/e like increased lipids, oily skin, acne, and facial hair growth.

norgestrel and levonorgestrel, half-life, androgenic

22

Third-generation progestins include: ___. Major s/e is ___ ___, but helps to control ___.

desogestrel, noregestimate, sprintec, ortho-tricyclin, venous thromboembolisms, acne.

23

Fourth-generation progestins include: ___. Major s/e is ___ ___, but helps to control acne.

drospirenon-spironolactone, venous thromboembolisms, acne

24

Next-generation progestins include: ___. Help to control bleeding.

dienogestrel

25

___ provide for better cycle control.

estrogens

26

MOA for progestin: suppresses the release of ___ from the hypothalamus, suppresses the ___/___ surge that induces ovulation, and thickens cervical mucus to hamper ___. Also decreases risk of ___.

GnRH, LH/FSH, sperm, PID

27

MOA of estrogen: suppresses the release of ___ from the pituitary.

FSH

28

MOA of comb.: ___ tubal motility, endometrial ___ and localized ___ of the endometrium.

slow, atrophy, edema

29

As hormone levels ___, pregnancy rates ___.

decrease, increase

30

___ has a major impact on the effectiveness of BC.

obesity

31

Advantages of BC include: ___ reversible control of fertility, short-acting and out of system w/in ___-___ days, decreases risk of ___ and ___ CA, ___ risk of benign breast conditions, improvement of ___ and ___, decreases ___ ___ anemia, reduces ___ s/s.

rapid, 2-3, ovarian, endometrial, decreases, acne, and hirsutism, iron deficiency, endometriosis

32

Disadvantages of BC include: ___ administration, readily ___, does not protect against ___.

daily, accessible, STD's

33

A condition for which there is no restriction for the contraception method is category ___.
Advantages outweigh the risk of taking is category ___.
Proven risks usually outweigh the advantages of use is category ___.
Unacceptable health risk if contraceptive method is used is category ___.

1
2
3
4

34

Health risks for BC include:

pregnancy, DVT/VTE, MI, stroke, HTN, gallbladder disease, benign liver tumors, risk of STD's, cervical dysplasia and carcinoma

35

Breastfeeding women should take a ___-only BC.

progesterone

36

Drugs that BC may interact w/or cause a decreased hormone level:

antibx (Rifampin), anticonvulsants, antivirals, antidepressants, K-sparing antihypertensives, NSAIDS

37

Mainstay BC tx is: ___, which is a ___ generation.

Brevicon, first

38

___/___ is best BC for DUB/bleeders and is a ___ generation.

Lo/Ovral, third

39

___ is best BC for ovarian cyst and is a ___ generation and is also ___.

Ovcon, first, chewable

40

___ is best BC for headache pts b/c it ___ estrogen levels.

Mircette, increases

41

___ is the best BC for breastfeeding b/c it has increased amts of ___ which increases milk supply.

Micronor, progesterone

42

___ ___ is used for emergency contraception.

Plan B

43

Pt's who smoke should not take a ___ BC.

combination

44

An annual pelvic exam is suggested but not ___.

required

45

True or False: if you miss a dose, take it when you remember.

True

46

Be consistent w/BC pills and take at ___ time every day in order to be effective.

same

47

Instruct pt to call the clinic immediately if they experience the acronym ___, which includes severe ___ pain, severe ___ pain, severe ___, severe ___ pain, and changes in ___.

ACHES, abdominal, chest, headaches, extremity (leg/arm), sight

48

Estrogen can cause ___.

hyperlipidemia

49

___ contraception substantially reduces the chances of pregnancy after an episode of ___ intercourse.

Emergency, unprotected

50

Advantages of Plan B: prevents ___ after unprotected intercourse, missed too many ___, breastfeeding woman had her ___, failed ___ method, cannot feel ___ strings or removed

pregnancy, OCP's, period, withdrawal, IUD, 8, teratogens

51

Major s/e of Plan B is:

nausea/vomiting, menstrual changes

52

Plan B has no effect on ___ and does not disrupt an already ___ fetus.

fertility, implanted

53

The use of ___ is not recommended in lactation.

Ella

54

Major risks of IUD is ___

PID

55

Plan B should be used w/in ___hrs of ___ days of unprotected intercourse. Important to abstain from intercourse until next ___. Follow up if no menses in ___ wks.

120, 5, cycle, 3

56

___ are the most commonly used reversible method of contraception.

IUD's

57

2 most common IUD's include ___ and ___. The first is ___-free and has a duration of ___ yrs. The second is also ___-free and has a duration of ___ yrs.

Paragard, Mirena, latex, 10, latex, 5

58

MOA of an IUD is to prevent ___ from fertilizing ___. It does not interrupt an implanted ___. It creates ___ to eat/kill sperm.

sperm, ova, pregnancy, macrophages

59

___ are the superior long-term protection against unintended pregnancy.

IUD's

60

Advantages of IUD's include: highly ___ and ___, non-___, ___-term protection, reduced risk of ___ CA.

effective, safe, estrogenic, long, endometrial

61

Disadvantages of IUD's include: ___ disturbances, ___/discomfort, ___, ___, ___ perforation, requires placement ___.

menstrual, cramping, expulsion, infection, uterine, training

62

Women who are contraindicated for using an IUD: young teens who have never been ___, ___, ___, ___, hx of ___ CA, women not in a ___ relationship, hx of ___, hx of ___.

pregnant, breastfeeding, immunocompromised, diabetes, breast, monogamous, VTE, c-section/uterine/cervical sgy

63

Educate pt's to check for strings at least ___ per month and to abstain from intercourse for ___ days after placing/removing.

once, 7

64

Patches and rings are changed ___ and are applied to the ___, upper ___, lower ___, or ___.

changed, bottom, arm, abdomen, torso

65

MOA of patches/rings: works similar to ___ through suppression of ___ and prevention of ___. Cervical mucus ___ and endometrium changes to hamper ___ and prevent ___.

OCP's, gonadotropins, ovulation, thickens, sperm, implantation

66

Advantages of patches: ___ of applying once wkly, no significant weight ___, rapidly ___, great for those who can not take a ___ or have ___ absorptive issues.

convenience, gain, reversible, pill, GI

67

Disadvantages of patches: risk of ___, ___, skin ___, ___, ___ compliance.

VTE, migraines, reaction, obesity, adolescent

68

Example of patch is ___.

ortho evra patch

69

Example of ring is ___.

nuvaring

70

Nuvaring is placed in ___ and is left for ___ wks, then removed during last week. Superior to ___.

vagina, 3, OCP's

71

Advantages of rings: convenience of placing once/___, rapidly ___, can use w/___, can be removed for ___ hrs and still have proper efficacy.

month, reversible, tampons, 3

72

Disadvantages of rings: risk of ___, ___, ___, ___ symptoms, and ___ d/t not wanting to touch themselves.

VTE, Toxic Shock Syndrome (TSS), headache, vaginal, adolescents

73

Rings have a prolonged use and are effective for ___ wks.

4

74

The injectable contraception is ___ and it has a ___ wk interval and is a ___ only method.

Depo-Provera, 12, progestin

75

Depo-Provera is not compromised by ___ ___ like a lot of the others.

body wt

76

MOA of Depo-Provera is that it inhibits ___ w/suppression of ___ and ___. It eliminates the ____ surge and inhibits ___ pulsatility.

ovulation, FSH, LH, LH, GnRH

77

The major down-fall of Depo-Provera (injectable contraception) is that the return of ovulation takes btwn ___-___ months from last injection. You may also have increased vaginal ___.

15-45, discharge

78

Biggest disadvantage to Depo-Provera is ___ ___.

weight gain

79

Depo-Provera not a good method for those thinking about becoming pregnant anytime in future d/t lack of quick return of ___.

fertility

80

Implant devices (aka ___) are placed ___ under the skin in the upper arm in the office and last ___ yrs. This is considered to be the ___ effective type of BC.

Implanon, SQ, 3, most

81

Implanon has a ___ risk of ectopic pregnancy.

decreased

82

Disadvantages of Implanon include: uterine ___, weight ___, ovarian ___, no ___ protection, decrease in bone ___, risk of ___.

bleeding, gain, cyst, STI, density, VTE

83

A ___ remains the most widely available and most commonly used method of BC. It reduces risk of ___ and ___.

condom, pregnancy, STI's

84

Advantages of barrier methods/condoms is that you can perform ___/___ sex.

anal/oral

85

Disadvantages of barrier methods is reduced ___, difficulty having an ___.

sensation, erection

86

Other available methods of contraception include:

spermicides (not really used all that often), diaphragm, cap, withdraw method, fertility awareness, PP contraception (breastfeeding), sterilization (permanent)