Family Planning Methods Flashcards

(67 cards)

1
Q

WHO says that family planning allows people to…

A

attain their desired # of children and determine the spacing of pregnancies

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2
Q

Family planning is achieved through the use of ______ and the treatment of ______

A

contraceptive methods, infertility

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3
Q

Benefits of family planning:

A
  • reduces # of unintended pregnancies
  • prevents pregnancy-related health risks
  • reduces infant mortality
  • mitigates spread of STI/HIV
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4
Q

Most common reasons for unintended pregnancies:

A
  • inconsistent/improper use

- discontinuation b/c of side effects

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5
Q

T/F: nearly 1/2 of unintended pregnancies occur among couples who used some form of contraception the month prior to conception

A

T

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6
Q

The role of a pharmacist in family planning is:

A
  • helping pt find appropriate method
  • preconception and interconception care
  • work w/ pt to create reproductive life plan
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7
Q

Optimal birth spacing is about __ - __ from a woman’s last delivery and conception of next pregnancy

A

18-59 months

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8
Q

Some considerations when helping pt choose contraceptive methods:

A
  • effectiveness
  • cost
  • health risks/benefits
  • partner involvement
  • performance
  • prevention of HIV/STI
  • availability
  • pt preference
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9
Q

Goals of contraceptive use:

A
  • prevent STIs
  • prevent unintended pregnancies
  • minimize adverse effects
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10
Q

Effectiveness of contraceptives in unintended pregnancies are measured in 2 ways:

A
  • perfect/optimal/correct use

- typical use

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11
Q

Categories of family planning methods:

A
  • natural methods
  • OTC products
  • Rx products
  • Surgical methods
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12
Q

A woman’s fertile days depend on…

A

life span of egg and sperm

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13
Q

Life span of an egg:

A

day after ovulation

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14
Q

Life span of sperm:

A

lives w/in a woman’s body for about 6 days

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15
Q

A woman has a chance of her egg joining a sperm about _______ every menstrual cycle

A

7 days

  • 5 before ovulation
  • day of ovulation
  • day or 2 after ovulation
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16
Q

Def of abstinence:

A

not having any type of sex w/ partner

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17
Q

Effectiveness of abstinence:

A
  • optimal: 100%
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18
Q

Def of periodic abstinence:

A

Limit intercourse during times of highest female fertility

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19
Q

How periodic abstinence works:

A
  • track 8 ovulation cycles

- calculate which days are likely to be fertile days and avoid them

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20
Q

Effectiveness of periodic abstinence:

A

typical: 75%

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21
Q

Women with cycles shorter than __ days should not use this method

A

27

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22
Q

Examples of natural methods:

A
  • abstinence
  • periodic abstinence
  • standard days method
  • cervical mucous method
  • basal body temperature method
  • symptothermal method
  • withdrawal method
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23
Q

Description of standard days method:

A

women moves rubber marker over each bead on daily basis

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24
Q

Standard days method identifies…

A

fixed fertile days for women with 26-32 day cycles

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25
A woman can use standard days method if she has...
- regular cycles | - cycle is never shorter than 26 days, but never longer than 32 days
26
Effectiveness of standard days method:
- optimal: 95%
27
How to do the basal body temp method:
pt measures basal body temp on daily basis | - ovulation results in 1 degree F temp increase
28
Effectiveness of basal body temp method:
typical: 75%
29
Natural cycles is the first...
FDA approved app for contraception
30
What is the symptothermal method?
combines temp, cervical mucous, and calendar methods
31
How symptothermal method works:
signs of each method should confirm each other
32
Effectiveness of symptothermal method:
optimal: > 99%
33
Def of withdrawal/pull out method:
man pulls penis out before ejaculation
34
Effectiveness of withdrawal/pull out method:
- optimal: 96% | - typical: 73%
35
Withdrawal/pull out method is less effective under the influence of...
drugs and alcohol
36
Examples of OTC products:
- condoms (male and female) - spermicide - sponge w/ spermicide - emergency contraception
37
Effectiveness of male condom:
- optimal: 98% | - typical: 85%
38
You should ask about ____ when counseling pt on condoms
allergies | - if one is allergic to latex, should use polyurethane, polyisoprene, or animal membrane
39
What kind of lubricant should be used w/ latex or polyisoprene condoms?
water based
40
What kind of lubricant should be used w/ polyurethane condoms?
oil based
41
Condoms prevent the spread of...
HIV and STIs
42
Condoms are more effective when used w/...
spermicide
43
Effectiveness of female condom:
- optimal: 95% | - typical: 75%
44
Female condom can be inserted up to ______ before intercourse
8 hours
45
T/F: you can use female and male condoms at the same time
F, only use one
46
Female condoms are made of...
polyurethane or nitrile | - can use either based lubricants
47
Description of spermicide:
foam, gel, cream, film, or tablet that's inserted deep into vagina
48
Spermicide works by...
- immobilizing sperm | - insert 5-60 minutes before sex
49
Effectiveness of spermicide:
- optimal: 85% | - typical: 71%
50
How to insert spermicide:
should squat/lie down
51
Nonoxynol-9:
- most commonly used spermicide in US | - can irritate tissue if used too often in a day
52
Description of sponge w/ spermicide:
disk shaped polyurethane device w/ spermicide nonoxynol-9
53
How to use sponge w/ spermicide:
- place in vagina up to 6 hours before sex - will protect up to 24 hrs - have to leave it in for 6 hrs
54
Effectiveness of sponge w/ spermicide if pt hasn't given birth yet:
- optimal: 91% | - typical: 88%
55
Effectiveness of sponge w/ spermicide if pt has given birth:
- optimal: 80% | - typical: 76%
56
Don't use sponge if...
- allergic to sulfa drugs/polyurethrane/spermicide - recent abortion/childbirth/miscarriage - have reproductive tract infection - vaginal bleeding - history of TSS
57
Example of emergency contraception:
- levonorgestrel
58
How emergency contraception works:
stops release of egg from ovary | - should take asap
59
Effectiveness of emergency contraception:
89% effective when taken w/in 72 hours
60
Brands of emergency contraception:
- Plan B One Step - my way - next choice one dose
61
Emergency contraception may be less effective for women w/ BMI over...
25
62
Emergency contraception may not be effective for women w/ BMI over...
30
63
Adverse effects of emergency contraception:
- heavier menstrual bleeding - nausea - lower abdominal pain - fatigue - headache - dizziness
64
T/F: emergency contraception does terminate viable pregnancy
F
65
Patient should be informed of 3 monitoring parameters when taking emergency contraception:
- vomiting occurs w/in 2 hours = should take another dose - take pregnancy test is menses is delayed more than one week - get pelvic exam if abdominal pain occurs a few weeks after EC
66
Effectiveness of emergency contraception can be decreased by medications that...
are inducers of enzymes
67
6 states have conscientious objection for pharmacists:
- Arizona - Arkansas - Georgia - Idaho - Mississippi - South Dakota