Sexuality- Fam planning and preconception counseling Flashcards Preview

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Flashcards in Sexuality- Fam planning and preconception counseling Deck (43)
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1
Q

What does preconception counseling include?

A

Health problems, physical exam, nutrition, exercise, family planning, changing health behaviors

2
Q

How long is the lifespan of sperm?

A

2-7 days

3
Q

How long is the lifespan of ovum?

A

1-3days

4
Q

When is maximum fertility?

A

5days before ovulation

5
Q

What method of fertility awareness is based on assumption that ovulation occurs 14days before their next period?

A

Calendar rhythm

6
Q

What method of fertility awareness is based on assumption that ovulation will occur after a slight decrease in temp; female takes temp before ANY morning activity (ex. brushing teeth) and records the reading?

A

Basal Body Temp (BBT)

7
Q

What method of fertility awareness is based on assumption that after ovulation mucus is very thin allowing sperm for motility, female assesses menstral mucus after ovulation?

A

Billings Method (Cervical Mucus)

8
Q

What method of contraception is abstinence, coitus interruptus (pullout method) or douching after intercourse?

A

Situational contraceptive

9
Q

What method of contraception is nonxynol-9 and can come in a cream, gel, jelly, foam, vaginal film or suppository?

A

Spermicides

10
Q

What does spermicide films and foams do to sperm and when should they be inserted?

A

Destroys sperm by disrupting cell membrane, and before sex

11
Q

When is spermicide suppository inserted?

A

30 min before sex

12
Q

What method of contraception is male and female condoms, diaphragm and cervical cap?

A

Barrier methods

13
Q

What method of contraception is IUD’s?

A

Intrauterine Devices

14
Q

What method of contraception is combined estrogen-progesterone, combined oral: pill, deep-provera, nuvaring, and skin patches?

A

Hormonal contraceptives

15
Q

What method of contraception is vasectomy and tubal ligation?

A

Operative Sterilization

16
Q

Hormonal contraceptives inhibit release of ovum by making what?

A

Thick cervical mucous

17
Q

What is the permanent cessation of menses?

A

Menopause

18
Q

Perimenopausal period lasts for several years and begins w/ what?

A

Decline in production of estrogen bc of loss of ovarian function

19
Q

What occurs 1yr after final menstrual period?

A

Postmenopause

20
Q

What are some objective s/s of menopause?

A

saggy breasts, loss of body hair, decrease in skin elasticity and subQ fat

21
Q

What are some subjective s/s of menopause?

A

Vaginal dryness, dyspareunia, urine incontinence, hot flashes, diaphoresis, fractures, and hypnosis

22
Q

What is the treatment for menopause?

A

Hormonal replacement therapy

23
Q

What can hormonal replacement therapy cause?

A

Increase risk for cancer

24
Q

What marks the natural biological process end of reproduction and viability?

A

Menopause

25
Q

What are menstruation discomforts that have more serious physiological and psychological effects than normal?

A

Menstrual dysfunction

26
Q

What is a complex manifestation of mood swings, fatigue, irritability, depression, food cravings, breast tenderness, dysmenorrhea, and dysfunctional uterine bleeding (DUB)?

A

Premenstrual syndrome (PMS)

27
Q

What is pain/discomfort associated w/ menstruation?

A

Dysmenorrhea

28
Q

What is vaginal bleeding that’s painless but is an increase in amount, duration and time of occurrence?

A

Dysfunctional Uterine Bleeding (DUB)

29
Q

What changes accompany PMS?

A

Hormonal changes: altered estrogen/progesterone levels, increased prolactin levels and rising aldosterone levels

30
Q

What phase of the menstrual cycle occurs 7-10days prior to onset of period?

A

Luteal phase

31
Q

What type of BUD is an absence of menstruation that primarily occurs in 14-16y/o, and 2nd sex characteristics fail to develop?

A

Amenorrhea

32
Q

What is resulted from structural abnormalities, hormonal imbalances, and polycystic ovary disease?

A

Amenorrhea

33
Q

What type of BUD is excessive/prolonged menstruation resulting from thyroid disorders, endometriosis, PID, ovarian cysts, uterine fibroids or clotting disorders?

A

Menorrhagia

34
Q

What type of BUD is bleeding b/t period “spotting” that results from hormonal imbalance, PID, cervical/uterine polyps/fibroids, cervical/uterine cancers?

A

Metrorrhagia

35
Q

What pelvic exams help diagnose menstrual dysfunction?

A

Pap smear, cervical/vaginal cultures

36
Q

What diagnostic procedures help diagnose menstrual dysfunction?

A

Pelvis/vaginal U/S, CT or MRI or laparoscopy

37
Q

What lab tests help diagnose menstrual dysfunction?

A

FSH and LH levels, CBC, Progesterone and estradiol levels (to assess ovarian function), and thyroid function

38
Q

What pharmacological therapies are used for menstrual dysfunctions?

A

Gonadotropin Releasing Hormone (GnRH), oral contraceptives, NSAIDs, diuretics

39
Q

What med is used for menstrual dysfunctions, but can’t be used if pregnant?

A

Danazol

40
Q

What SSRI’s are used for menstrual dysfunctions and are safe for breastfeeding?

A

Prozac, Zoloft, and Paxil

41
Q

What surgery is performed for menstruation dysfunctions that scrapes the uterine wall?

A

Therapeutic D/C

42
Q

What surgery is performed for menstruation dysfunctions that is used if therapeutic D/C fails and permanently destroys layers of endometrium by a laser?

A

Endometrial Ablation

43
Q

What other surgery is performed for menstruation dysfunctions?

A

Hysterectomy