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COMMUNITY HEALTH NURSING > ARTIFICIAL FAMILY PLANNING > Flashcards

ARTIFICIAL FAMILY PLANNING Flashcards

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1
Q

*Inhibition of ovulation
* Makes cervical mucus thick and scanty
* Prevention of implantation
*Inhibition of capacitation

A

hormonal contraceptives

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2
Q
  • are progestin only or a
    combination of progestin and
    estrogen, the daily intake of
    which prevents pregnancy.
  • For women 18-35 years of
    age
  • For women with heavy &
    painful menstruation
A

oral contraceptive pills

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3
Q

how many day packets in oral contraceptive pills?

A

21 / 28 - combination type
35 - progestin only type

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4
Q

Oral contraceptive pills are highly effective (___%) when taken regularly

A

99.7%

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5
Q

true or false - there is spotting in between menses when taking oral contra pills

A

true

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6
Q

true or false - emotional irritability and weight gain is a side effect of oral contra pills

A

true

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7
Q

4 kinds of of combined oral contraceptive pills / COCP?

A
  • monophasic low dose
  • biphasic
  • triphasic
  • morning-after
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8
Q
  • with 21 active tablets
  • with fixed concentration of estrogen
    & progestin
  • Examples: Logentrol, Marvelon, Trust
A

Monophasic low-dose pills

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9
Q
  • estrogen remains the same
    throughout the cycle
  • less progestin in 1 st half & increased in 2nd half
  • Example: Gracial
A

Biphasic pills

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10
Q
  • contains lower hormonal content
  • with both estrogen & progestin in
    different amounts
  • Examples: Logynon, Triquilar
A

Triphasic Pills

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11
Q
  • a.k.a. Post-coital contraception pills or Emergency contraceptive pills (ECPs)
  • act both to prevent ovulation or fertilization)
A

Morning After PIlls

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12
Q

example of progestin only pills

A

excluton

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13
Q

true or false - pills can be given to those who experience migraine and blood clotting disorders

A

false

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14
Q

true or false - it is ok to smoke when taking pills

A

false

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15
Q

During lactation, COCPs should be withheld until ___ months after delivery or until the infant is weaned,
whichever comes earlier

A

6

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16
Q

Women using ___ and ___, reduce
the effectiveness of the pills, should be prescribed the
50 mcg estrogen pills

A

rifampicin and anticonvulsants

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17
Q

After the third month of use of pills, check ___ and ___
of the client.

A

BP and weight

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18
Q

The pills should be taken ___ daily preferably at the same time of the day

A

per orem

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19
Q

Initial dose should be taken at day ___ or at any day from
day 1 to day 5 of the menstrual cycle; then 1 tablet daily
until the contents of the whole packet are consumed

A

day 1

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20
Q

Clients using the 28-day packet should start a new packet
on the ___

A

next day

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21
Q

Those using the 21-day packet should start a new packet
after ___

A

a 7 day rest period

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22
Q

what to do if you miss one pill?

A

take it as soon as she remembers, and take another at the usual time. (ok lang kahit 2 per day!)

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23
Q

what to do if you miss 2-4 pills on the first 14 days?

A
  • take the recently missed pill as soon as she remembers
  • discard the other missed pills
  • continue the packet
  • avoid coitus for 7 days
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24
Q

what to do if you miss 2-4 pills on the 15th-21st days?

A
  • take the recently missed pill as soon as she remembers
  • discard the other missed pills
  • continue the packet
  • avoid coitus for 7 days

++ RETURN TO FP CLINIC FOR CONSULTATION

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25
Q

what to do if you miss 4 or more pills?

A
  • counsel the client that this method is not for them
  • assist to choose another method
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26
Q

ACHES symptoms = consult immediately, what is ACHES?

A
  • abd pain (severe)
  • chest pain or SOB
  • headaches (severe)
  • eye problems - blurred vision
  • severe leg or arm pain or numbness
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27
Q
  • A transdermal patch applied to the skin that
    releases synthetic estrogen and progestin
    hormones to prevent pregnancy.
A

contraceptive patch

28
Q

where is the patch typically worn?

A
  • lower abd
  • upper outer arm
  • buttocks
  • thigh
29
Q

how long do you wear a patch?

A
  • worn for one week
  • changed at the same day every week
  • 3x per month only, 4th week is patch free
30
Q

example of contraceptive patch?

A

ortho evra

31
Q
  • a steroidal hormone resembling the female hormone called progesterone.
  • It is injected intramuscularly deep into the upper outer quadrant of the buttock or the
    deltoid area of the arm.
A

progestin-only injectables

32
Q

injectables are ___% effective

A

99

33
Q

brands of injectables available

A

1 mL 150 mg - Depo-Medroxyprogesterone Acetate (Depo-Provera)

3 mL 150 mg DMPA (Depo Trust)

1 mL ampule 200 mg Norethisterone enanthate (Noristerat)

34
Q

one of the advantages of injectables is that it helps prevent cancer of the ___ and ___

A

uterus and ovaries

35
Q

when getting injectables, return to fertility is delayed – average is about ___ months from the last injection

A

10

36
Q

when to give DMPA?

A
  • within first 7 days of menses
  • within first 14 days after abortion
  • within first 28 days after delivery if not BF
  • between 6 weeks and 6 months for fully BF even if she is amenorrheic
37
Q

warning signs of injectables

A
  • heavy bleeding > 7 days
  • delayed menses
  • migraine
  • severe abd pain
  • frequent urination
38
Q

inserted under the skin in the woman’s upper arm or forearm though a minor surgical procedure under local anesthesia, which releases progestin at a controlled rate

A

subdermal implants

39
Q

viability:

The 6 – capsule levonorgestrel implant system
(Norplant®)

A

7 years

40
Q

viability:

The 2 – rod system containing 75 mg of levonorgestrel
(Jadelle®)

A

5 years

41
Q

viability:

The single – rod system (Implanon®), which releases
etonogestrel

A

3 years

42
Q

true or false - subdermal implants are reversible and fertility returns almost immediately after removed

A

true

43
Q

true or false - subdermal implants have side effects such as nausea and vomiting

A

false

44
Q

true or false - subdermal implants help prevent iron-deficiency anemia and reduces risk of ectopic pregnancies and endometrial cancer

A

true

45
Q

Small flexible devices made of metal and/or plastic or silastic inserted inside the uterine
cavity to prevent pregnancy

A

intrauterine device

46
Q

IUD is ___% effective

A

99.4

47
Q
  • Prevents fertilization
    *Inhibits sperm migration in the upper
    female genital tract
    *Inhibits ovum transport and fertilization
A

IUD

48
Q

true or false - The IUD, copper T380-A, can be inserted any time during the cycle.

A

true

49
Q

who inserts the IUD?

A
  • doctors
  • PHN
  • midwife
50
Q

Client’s check up / follow up – ___ months after insertion, and once a year thereafter

A

1, 6, and 12

51
Q

warning signals of IUD (PAINS)

A
  • periods late with sx of pregnancy
  • abd pain or dyspareunia
  • infection, abnormal discharge
  • not feeling well, fever, chills
  • string missing, shorter, or longer
52
Q

barrier method - Creams, Jellies, Foams, Suppositories, Tablets

A

spermicides

53
Q

spermicides Can be used as early as ___ minutes before sex to
avoid interruption

A

15

54
Q
  • Dome shaped shallow rubber cap inserted in the vagina
  • Should be left for 6 hours
  • Requires the use of contraceptive cream, jelly or foam
A

diaphragm

55
Q

diaphragm method is ___% effective with perfect use

A

94

56
Q

2 mechanism of action of diaphragm

A
  • blocks the sperm
  • acts as spermicide
57
Q

Cap-shaped device made
of soft rubber that fits
over the cervix
* Also uses spermicide

A

cervical cap

58
Q

cervical cap method is ___% effective when perfectly used by parous women

A

74

59
Q

cervical cap Can be inserted ___ hours or more prior to sex act

A

6

60
Q
  • Thin rubber sheath worn
    on erected penis
  • different colors and flavors
  • 98% effective
A

male condom

61
Q

A thin sheath (polyurethane plastic), (7-8 cm in diameter and 17 cm long.) 95% effective

A

female condom

62
Q

➢ tying, cutting or
blocking the fallopian
tube
➢ 10-15 min operation
➢ Ovum is trapped out of
the fallopian tube

A

bilateral tubal ligation

63
Q

bilateral tubal ligation procedure after a woman gives birth is called?

A

Minilaparotomy

64
Q

➢Blocking / tying or cutting of
the vas deferens
➢15-30 ejaculation thereafter
to achieve a zero sperm
count
➢99.9% effective

A

vasectomy

65
Q

vasectomy is Very effective ___ months after the procedure

A

3

COMMUNITY HEALTH NURSING (7 decks)

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