4500 Class 12 reproductive Choices And Sexual health History

Question 1

P. 145

Question 2

The 5 ps of sexual Hx

Answer 2

Partners
Practices
Protection
Past Hx of STO’s
Pregnancy prevention

Question 3

What can be tramsmittednthrough receiving or performing oral sex on a penic

Answer 3

Syphilis, Herpes, HPV, Gonorrhea and Chlamydia

Question 4

What can be transmitted through vag/vulva/genitals

Answer 4

Syphilis, herpes, hpv,

Question 5

What STIs do we measure through blood work

Answer 5

Syph
HIV
Hep B & C

Question 6

Can be transmitted skin to skin

Have manh strains. Some cause genital warts. Cancers

How to prevent?

Answer 6

HPV

Prevented through immunization

Prevented

Question 7

What are MOST EFFECTIVE hormonal contraception

Answer 7

— IUD/IUS (Mirena/Kyleena/Jaydess)
— Implant (Nexplanon)

Question 8

What are MID-RANGE EFFECTIVE hormonal contraceptive

Answer 8

— combined oral contraceptives/patch/ring
— injectable (projectin)
— projectin-only pill

Question 9

MOST EFFECTIVE, NON HORMONAL contraception

Answer 9

Tubal ligation/occlusion

Vasectomy

Copper IUD

Question 10

MID RANGE, NON HORMONAL contraceptive

Answer 10

Lactational Amenorrhea

Question 11

LEAST EFFECTIVE NON HORMONAL Contraception

Answer 11

Condoms

Withdrawal

Fertility swareness

Question 12

Acronym we use to assess potentiom complication with hormonal contraceptition

What does it stand for

Answer 12

A. C. H. E. S.

Abdominal pain (liver or gallbladdrr)

C — Chest pain/dyspnea

H — Headache

E — Eye problems

S — Severe leg pain/swelling

Question 13

What hormonal contraception can be used for postpartum? Why

Answer 13

Progestin-only (POP) pill

It has no estrogen.
Less changes of coagulation because postpartum pts are in a hypercoagulable state.
It does doe interfere with milk production.

Question 14

Contraindications of progestin-only pill (POP)

Answer 14

Breast cancer, AUB (abnormal uterine bleeding), liver disease

Question 15

What is a risk fot Combined Oral Contraceptives (COC)

Answer 15

VTE

Question 16

Contraindications of Combined Oral Contraceptives (COC)

Answer 16

Smoking & age ?35

HTN

VTE

Heart disease

CVA

Breast cancer Liver disease AUD

Migraines with aura

Diabetes (with complications)

Question 17

Menses may stop completely, or reduce flow of menses

Answer 17

HORMONAL IUDS

Question 18

Intrauterine contraception that gives a Often heavier menstrual flow and cramping

Answer 18

NON-HORMONAL IUD

Question 19

What are the risks of untrauterine contraception

Answer 19

1. Infection
2. Rupture of the uterus
3. Expulsion

Question 20

MOA: It causes a local inflammatory effect which are harmful to soerm & ova and impedes implantation. Projestin thickens the cervical mucus & thins the endometrium

Answer 20

HORMONAL IUS

Question 21

MOA: It causes inflammatory reaction, impairs dperm function and implantation

Answer 21

COPPER IUD

Question 22

What is the most effectice Emergency Contraceptive

Answer 22

Copper IUD

Question 23

What does Induced Abortion mean

Answer 23

It is the purposeful interruption of a pregnancy before 20 weeks of gestationgestation

Question 24

It can only be done as a way of abortion up to 9 weeks gestation

Answer 24

MEDICAL ABORTION

Question 25

What are two drugs we use for Medical Abortion

Answer 25

Mifepristone Misoprostol

Question 26

(abortion services) when does an Rh NEG women with a negative Coomb’s test require Rh immune globin

Answer 26

If more than 49 days since LMP

Question 27

In clinic up to 16 weeks gestation In hospital up to 19 weeks 6 days gestation

Answer 27

Surgical Abortion

Question 28

What is the nurses’ role in abortion services

Answer 28

Hx, pre-op, lab tests, education, review of record for signed consent, IV; nursing care duting the procedure and post-op, d/c teaching; Rh immune globulin administration Watch sor s/s of infection, endometritis(fever/chills)

Question 29

What are side effects of misoprostol?

Answer 29

Nausea, vomiting, chills, diarrhea, headcache or dizziness

Question 30

When is medical abortion contraindicated

Answer 30

Ectopic Prescrnce of IUD/IUS

Question 31

When do we suspect imcomplete abortion/retained products of conception (medical) What to do?

Answer 31

When there is a heavy or prolonged bleeding and cramping OR failure to have expected bleeding We would potentially require additional doses of medication (misoprostol) or surgical aspiratiom

Question 32

When is it considered abnormal bleed?

Answer 32

2pads/hr for w hours When there is a clot larger than a lemon

Question 33

S/sx of infection after abortion

Answer 33

Fever greater than 38 degrees Ourulent vaginal discharge uterine tenderness (*it is not normal!)

Question 34

When does pain/cramping brgin? What to do

Answer 34

2-4 hours after misoprostol is talen, NSAISs can be used

Question 35

When should memses return after abortion?

Answer 35

4-6 weeks after Bortion!Q!