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OBSTETRICS > 1F - Family Planning > Flashcards

1F - Family Planning Flashcards

1
Q

This allow individuals to and couples to anticipate and
attain their desired number of children and spacing
and timing of their births

A

Family planning

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2
Q

What are the two permanent family planning methods?

A

Vasectomy and bilateral tube ligation

Reversible: Spermicide, barrier, OCP, Hormone, IUD or IUS

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3
Q

What is the active agent in spermicides?

A

Nonoxynol - 9

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4
Q

Spermicides can be used alone for contraception, T or F?

A

False. Used with barriers

*no increased risk for congenital and chromosomal abnormalities

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5
Q

What must be covered by diaphragm totally to prevent conception?

A

Cervical os

*used with spermicide

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6
Q

How long can a diaphragm stay within the genital tract post coitus?

A

8 hrs

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7
Q

If there is repeated intercourse after 8 hours of application of the diaphragm, what should be added?

A

Spermicide

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8
Q

How long is the maximum time a cervical cap can be placed on the cervix?

A

48 hrs

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9
Q

After use of cervical cap, what test should be done after 3 months?

A

Pap smear test

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10
Q

What is more comfortable, diaphragm or cervical cap?

A

Cervical cap

*also used with spermicide

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11
Q

What are the possible adverse effects if the cervical cap is placed for more than 48 hours?

A

Mucosal infections, unpleasant odor, infection

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12
Q

What is the most effective contraceptive method to prevent transmission of STDS?

A

Male condom

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13
Q

This contraceptive method makes us of loose fitting soft sheath with two polyurethrane rings?

A

Female condom

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14
Q

This contraceptive method has the ability to prevent infections of the external genitalia?

A

Female condom

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15
Q

How many should you subtract from the longest and shortest cycle to make use of the calendar method?

A

Longest - 11
Shortest - 18

*COMPUTE:
- 27 – 18 = 9, and
- 31 – 11 = 20
- Fertile period is from days 9 to 20, and couple should abstain or use barriers at
this time

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16
Q

How many months of monitoring should be done by the patient before starting calendar method?

A

6 months

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17
Q

Using the basal body temperature method when should couples abstain from sex or use barrier method?

A

onset of menses until the 3rd consecutive day of elevated body temperature

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18
Q

How many days post observation of the presence of slippery mucus should the couples abstain or use barrier method?

A

4 days

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19
Q

Based on cervical mucus method, the safe period is indicated by what consistency of the mucus?

A

Dry

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20
Q

Smypothermal method, what is used to establish the first and last days of fertile period?

A

First day - cervical mucus and calendar

Last day - Basal body temperature method

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21
Q

Most widely used reversible method of contraception?

A

OCP

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22
Q

In fixed dose combination, how many pills from the 28 are inert of free day pills?

A

7

*21 are active pills with E + P

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23
Q

What are two drugs used in fixed dose combination?

A

Estrogen and progestin

24
Q

Without estrogenic stimulation, the endometrium usually begins to slough off after how many days without steroid stimulation?

A

3 days

25
Q

What pill only has progestin as its content?

A

Minipil

*low dose progestin

26
Q

This OCP is ideal for nursing mothers and is used daily at the same time?

A

Minipill

27
Q

What is the action of progestin?

A

Thick scanty mucus preventing transport of sperm

28
Q

Major effect of synthetic estrogen?

A

maintain the endometrium and prevent unscheduled bleeding and inhibit follicular development by feedback inhibition

29
Q

The magnitude of the effects of synthetic estrogen is directly related to what?

A

Dosage and potency of the steroids

30
Q

What antidiuretic hormone is increased due to synthetic estrogen?

A

Aldosterone

31
Q

What kind of bleeding is experienced especially with progestin only pills?

A

irregular bleeding

32
Q

The androgenic effects of progestins are attributed to their structural similarity to what?

A

Testosterone

33
Q

Which of the 2 increases LDL levels, progestin or estogen?

A

progestin

*estrogen decreases LDL levels but increases HDL, TGs and total cholesterol

Progestin decreases HDL, TGs and total cholesterol

34
Q

There is increased risk of stroke among users of estrogen pills, T or F?

A

False but there is increase in coagulation factors among users

35
Q

Length of delay and reversibility is attributed on what factors after OCP use?

A

Dose and user age

36
Q

OCPs are protective of what cancer types?

A

Endometrial, ovarian and colorectal

*may have increased risk for breast and cervical

37
Q

A woman with PCOS can be recommended what anti androgenic OCP?

A

Cyproterone acetate

38
Q

What is the dose for the contraceptive patch?

A

75 ug estradiol and 6 mg progestin

  • 3 weeks patch 1 week rest
39
Q

Dose for vaginal ring contraception?

A
  1. 7 mg estradiol 11.7 mg progestin

* same timing as OCP (3 w/ 1 w/o)

40
Q

Most common formulation for injectable contraception?

A

DMPA

41
Q

What are the 3 MOAs or DMPA (also OCPs)

A

inhibition of ovulation
thinning of endometrium
cervical mucus changes

42
Q

When do we give DMPA?

A

within the first 5 days of the cycle

43
Q

What is the formulation for the contraceptive implant?

A

Progestin only

44
Q

If a patient has a contraindication for estrogen use as contraception, what alternative can be given?

A

DMPA (injectables) or progestin implant or progestin only OCP

45
Q

How long can copper T 380A be placed in the uterus?

A

12 years

46
Q

How long can LNG IUD be placed?

A

5 years

47
Q

What is the MOA of IUDs?

A

Spermicide

48
Q

When is IUD inserted?

A

Any day of the cycle as long as patient is not pregnant

49
Q

When is the preferable day of insertion of IUD?

A

day 1 to 7 of menses due to cervical os opening for easier insertion

50
Q

This form of contraception has the highest rate of discontinuance?

A

IUD

51
Q

Which IUD can also be given for AUB and treatment for hyperplasia?

A

LNG

52
Q

For the first 6 months, what problem may be encountered by those using Copper T380A as the uterus adapts?

A

Uterine bleeding or increased menstrual loss

53
Q

After how many ejaculations post vasectomy will the patient be considered sterile?

A

14-20

54
Q

Post vasectomy, how many months will the male use barrier method as contraception?

A

3 months

55
Q

What kind of incision is required in bilateral tubal ligation?

A

Transperitoneal

OBSTETRICS (36 decks)

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