Family Planning Flashcards by Briana Echols

T/F 200 million women who do NOT want to get pregnant but do NOT have access to contraceptives

True

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What power should every woman have?

the power to and right to plan for her child

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What is birth control?

actions, sexual practices or surgical procedures used to prevent fertilization between female egg and male sperm

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What is contraception?

devices, drugs, agents, or surgical procedures used to PREVENT or TERMINATE a pregnancy

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condoms, intra-uterine devices, spermicidal gels and abortion are WHAT

contraception

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abstinence from sex, withdrawal method, ligation and vasectomy are WHAT

Birth control

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ANYTHING that interrupts or prevents pregnancy is

birth control

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Abstinence from sex works how well

100%

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what prevents conception or impregnation (conceiving)

contraception

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What is the best method for contraceptive counseling

one that the pt chooses for herself and will use CONSISTENTLY and CORRECTLY

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What should every provider ask their patient at every visit

about her contraceptive needs and experience

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Contraceptive counseling for adolescents should

debunk myths

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T/F majority of teen pregnancies nationwide result from sex w/ men over age 21

TRUE

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Preventing preggo and protecting from STD are

TOO Different Things

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T/F a contraceptive may NOT AT ALL prevent STD

True

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What are the highly effective contraceptives?

Injectable contraceptives
Intrauterine devices
Subdermal progestin implants

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What are the effective contraceptives

Oral contraceptives
Transdermal patch
Vaginal rings

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What are the less effective contraceptives

Condoms
Diaphragms
Cervical Caps
Spermicides
Sponges

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What are 3 types of contraceptives

Hormonal
Barrier
IUD

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What are 6 types of hormonal methods

pill
injections (Depo-Provera)
implants
patch
vaginal ring
ECP

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Combined OC (estrogen + progestin) are how effective

95%

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POP (progestin only pills) are how effective

92%

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Do women need a pap smear to get a prescription OCP

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How does the pill work

stops ovulation- primary
thins uterine lining
thickens cervical mucus

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What the primary target of the pill

STOP Ovulation | and making difficulty

What are 5 benefits to the pills

``` eases menstrual cramps shortens period decreases incidence of ovarian cysts prevents ovarian and uterine cancer DECREASES ACNE ```

What are 6 side effects of pills

``` breast tenderness Nausea Increase in headaches Moodiness Weight Change (mayb) Spotting ```

What are the warning signs of OCs

``` ACHES A-abdominal pain C- chest pain, SOB H- headaches (severe) E- eye problems (blurred vision, blindness, flash) S- severe leg pain (clots) ```

What is the BIGGEST risk of OCs

risk of blood clots, deep vein thrombo

Who shouldn't take OCs

> 35Y smoke, diabetes, hypertension or migraine headaches OR any age + ischemic heart disease, hx of stroke, diabetes w/ vascular changes, migraine w/ aura, uncontrolled hypertension

How is the pill taken?

once a day SAME time erry day

T/F the pill offers protection from STDs

FALSE

What should you do if you miss a pill or take it late

use condom for 1 wk

Who is the Depo-Provera taken?

a shot q 3mo

How effective is Depo-Provera?

97%

How does Depo-Provera work?

Stops ovulation Stops menstrual cycles Thickens cervical mucus

What is a big Contraindication to Depo-Provera?

slowly reversible, not a good choice for future pregnancy

How are implants used?

progestin filled implant placed under skin in arm

What does implants prevent

ovulation

How effective are implants

99.9%

What are the advantages of implants

convenience eliminates user error no menses or very light decreased cramping

How long does it take fertility to return after a implant?

IMMEDIATELY after removal

What are contraindications of implants

``` liver dx breast cancer cardio dx unexplained vaginal bleed preggo smoker ```

Transdermal patches contain

estrogen and progestin

How are patches used

replaced weekly

MOA for patch

prevents ovulation

What is a con to wearing a patch

visibly seen, can't wear swimsuit, skin irritation from (adhesive)

Vaginal rings contain

estradiol and progestin

What is a benefit to vaginal rings

discrete, and yields lower and more consistent serum levels than others

When should EMERGENCY contraceptive be taken

< 72 hrs of the act of unprotected intercourse

How effective is Plan B?

75%

Who can purchase Plan B One-step?

any age OTC

Women younger than 15yr (17) can only receive the other brands of ECP by

prescription

MOA ECP

floods the ovaries w/ high amounts of progestin preventing ovulation, alters the uterus

How can ECP be taken for best effect?

TWO pills exactly 12 hrs apart or as single dose

What are 5 barrier methods

``` spermicides male condom female condom diaphragm cervical cap ```

MOA of barrier methods

prevent egg and sperm from meeting

Which birth control has the highest failure

barrier methods

MOA of spermicides

chemicals kill sperm

How effective are spermicides when used alone?

70-85% | Should be used with another method (condoms)

What form of spermicides have to be pre-inserted

suppository

T/F spermicides protect against STIs?

FALSE

What can reduce STI (HIV)

synthetic condoms (latex)

most common and effective barrier when used properly

male condom

Male condom effectiveness

88%

Male condom + spermicide effectivness?

99%

What condom will not protect against STI and or prevent pregnancy

Natural condoms

What are natural condoms made from

sheep intestines (pores)

Female condoms are usually typically effective

79%

How effective is diphragm

80%

A latex barrier placed inside the vagina

diaphragm | cervical cap

Use to be a popular method, now only used by 1% of women

diaphragm

Which barrier must be fitted by a physician

diaphragm

fits around the cervix with suction

cervical cap

cervical caps can be left in for how long

48hrs, but must be left in place 6 hrs after sex

How are diaphragms used

inserted up to 18hrs before sex and left in for 24hrs

Effectiveness of IUD

99%

Low maintenance, ideal for long term contraception

Intrauterine devices

When are IUD most cost effective?

when used >2yrs

Which IUD is hormonal or non hormnal

ParaGard Copper T- non hormonal Levonorgestrel- hormonal

Which IUD can remain in place for 10 years

ParaGard Copper T

For how long can Levonorgestrel remain in place

5 years (bc hormones drops)

MOA ParaGard Copper T

COPPER remains on IUD acts a spermicide

MOA Levonorgestrel

Progestin thickens cervical mucus and suppresses endometrium

What must be checked when using ParaGard or Levonorgestrol

string | before and after sex and shedding of uterine lining

Which IUD improves dysmenorrhea and reduces menorrhagia

Levonorgestrel

Family Planning Flashcards

(86 cards)