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Gender And Reproductive Health Finals > 4500 Class 12 reproductive Choices And Sexual health History > Flashcards

4500 Class 12 reproductive Choices And Sexual health History Flashcards

1
Q

P. 145

A
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2
Q

The 5 ps of sexual Hx

A

Partners
Practices
Protection
Past Hx of STO’s
Pregnancy prevention

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3
Q

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

A

Syphilis, Herpes, HPV, Gonorrhea and Chlamydia

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4
Q

What can be transmitted through vag/vulva/genitals

A

Syphilis, herpes, hpv,

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5
Q

What STIs do we measure through blood work

A

Syph
HIV
Hep B & C

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6
Q

Can be transmitted skin to skin

Have manh strains. Some cause genital warts. Cancers

How to prevent?

A

HPV

Prevented through immunization

Prevented

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7
Q

What are MOST EFFECTIVE hormonal contraception

A

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

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8
Q

What are MID-RANGE EFFECTIVE hormonal contraceptive

A

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

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9
Q

MOST EFFECTIVE, NON HORMONAL contraception

A

Tubal ligation/occlusion

Vasectomy

Copper IUD

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10
Q

MID RANGE, NON HORMONAL contraceptive

A

Lactational Amenorrhea

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11
Q

LEAST EFFECTIVE NON HORMONAL Contraception

A

Condoms

Withdrawal

Fertility swareness

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12
Q

Acronym we use to assess potentiom complication with hormonal contraceptition

What does it stand for

A

A. C. H. E. S.

Abdominal pain (liver or gallbladdrr)

C — Chest pain/dyspnea

H — Headache

E — Eye problems

S — Severe leg pain/swelling

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13
Q

What hormonal contraception can be used for postpartum? Why

A

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.

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14
Q

Contraindications of progestin-only pill (POP)

A

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

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15
Q

What is a risk fot Combined Oral Contraceptives (COC)

A

VTE

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16
Q

Contraindications of Combined Oral Contraceptives (COC)

A

Smoking & age ?35

HTN

VTE

Heart disease

CVA

Breast cancer Liver disease AUD

Migraines with aura

Diabetes (with complications)

17
Q

Menses may stop completely, or reduce flow of menses

A

HORMONAL IUDS

18
Q

Intrauterine contraception that gives a Often heavier menstrual flow and cramping

A

NON-HORMONAL IUD

19
Q

What are the risks of untrauterine contraception

A
  1. Infection
  2. Rupture of the uterus
  3. Expulsion
20
Q

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

A

HORMONAL IUS

21
Q

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

A

COPPER IUD

22
Q

What is the most effectice Emergency Contraceptive

A

Copper IUD

23
Q

What does Induced Abortion mean

A

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

24
Q

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

A

MEDICAL ABORTION

25
Q

What are two drugs we use for Medical Abortion

A

Mifepristone

Misoprostol

26
Q

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

A

If more than 49 days since LMP

27
Q

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

A

Surgical Abortion

28
Q

What is the nurses’ role in abortion services

A

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)

29
Q

What are side effects of misoprostol?

A

Nausea, vomiting, chills, diarrhea, headcache or dizziness

30
Q

When is medical abortion contraindicated

A

Ectopic

Prescrnce of IUD/IUS

31
Q

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

What to do?

A

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

32
Q

When is it considered abnormal bleed?

A

2pads/hr for w hours

When there is a clot larger than a lemon

33
Q

S/sx of infection after abortion

A

Fever greater than 38 degrees

Ourulent vaginal discharge

uterine tenderness (*it is not normal!)

34
Q

When does pain/cramping brgin? What to do

A

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

35
Q

When should memses return after abortion?

A

4-6 weeks after Bortion!Q!

Gender And Reproductive Health Finals (6 decks)

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