ATI Chpt 1 AND 2; Exam 1 Flashcards

1
Q

Abstinence

A

Reframing from sexual intercourse

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2
Q

Advantage vs. Disadvantages Abstinence

A

Advantages
1. Most effective
2. Eliminate risk for STI

Disadvantages
1. Self control
2. High failure rate

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3
Q

Coitus interruptus; withdraw definition

A

Withdraw of the penis from the vaginitis prior to ejaculation

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4
Q

Advantages vs disadvantageous of coitus interruptus

A

Advantages; monogamous couples possible choice
Disadvantage; least effective method, no protection against STIs

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5
Q

Definition of calendar rhythm method

A

Tracing the menstrual cycle to estimate the time of ovulation

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6
Q

Advantages, disadvantages, and risk of calendar rhythm method

A

Advantage; inexpensive, used with the basal method

Disadvantage; not realizable, no protection fro STIs, record keeping, adherence/abstinence during fertile periods

Risk; factors affect ovulation, possible pregnancy

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7
Q

Definition of cycle beads

A

Standard days method/ cycle beads; beads color coded and on a necklace

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8
Q

Advantages vs. Disadvantages of Cycle beads

A

Advantage; Mobile app adherence by using a visual aid, easy to understand

Disadvantage; unreliable, pregnancy, lose track of the days

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9
Q

Definition of basal body temperature

A

Temperature of the body at rest

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10
Q

Advantages vs Disadvantages of Basal Body Temperature

A

Advantages; inexpensive, convenient, and no adverse effects

Disadvantage; variables can cause inaccurate interpretation for the temperature changes, does not protect against STIs

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11
Q

Cervical mucous ovulation detection method definition

A

Client analysis cercial mucous it determine ovulation; Spinnbarkeit sign

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12
Q

Advantages vs Disadvantages of Cervical Mucus Ovulation

A

Advantages; cents become very accurate with the characteristics of own mucus, can be diagnostically helpful in determining the start of ovulation while breastfeeding and planning a desired pregnancy

Disadvantages; clients can be uncomfortable with touching the mucus, self analysis of mucus can be difficult, no protection from STI

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13
Q

Male condom definition

A

Thin sheath to cover the penis during sexual intercourse

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14
Q

Advantages and disadvantages of a male condom

A

Advantage; protects against STIs, involves the male, no adverse effects readily available

Disadvantages; high rate of non adherence, reduces spontaneity, decrease sensation, one time use, cost replacement, does not protect against lesions on the skin or mucous membranes, hpv, hsv, syphilis.

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15
Q

Female condom definition

A

Vaginal sheath made of nitrile, a non latex synthetic rubber flexible rings on both ends that is pre lubricated with a spermicide

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16
Q

Advantages vs disadvantageous of a female condom

A

Advantages; offer protection against pregnancy and STIs, offer some protection against sti transmitted by skin to skin contact hpv, hsv, syphilis

Disadvantages; complicated to use bulky, noisy during intercourse, more expensive

17
Q

Definition of spermicide

A

Chemical barrier available in a variety of foams. They destroy sperm before they can enter the cervix. Vaginal flora becomes acidic, not favorable for sperm survival.

18
Q

Advantages vs Disadvantages of spermicide

A

Advantages; no Rx, increase the effectiveness of other methods if used together, various forms/suppositories, foams, creams, gels, films

Disadvantages; messy reapply after each act of intercourse, no protection against STIs

19
Q

Diaphragm definition

A

A dome shaped cup with a flexible rim that fits snugly over the cervix

20
Q

Advantages vs disadvantages of a diaphragm

A

Advantages; client has more control, easy to insert

Disadvantages; inconvenient, reapplication and cream of foam to be more effective, RX needed, must insert correctly, does not protect against STIs

21
Q

Definition of Cervical Cap

A

Silicone cap that fits tightly around the base of the cervix

22
Q

Advantage/ Disadvantage of Cervical cap

A

Advantage; extended period of use, no additional application of spermicide needed

Disadvantage; risk for TSS, allergic reaction, no precision from STIs

23
Q

Contraceptive sponge definition

A

Fits over the cervix physical and chemical barrier

24
Q

Advantage and disadvantage of contraceptive sponge

A

Advantage; easy to insert, multiple acts of intercourse

Disadvantage; does not protect against sti

25
Q

Combines oral Contraceptives COCs definition and advantage vs, disadvantage

A

Contains estrogen and progestin suppresses ovulation and thickening cervical mucus to block semen

Advantage; highly effective if taken correctly
Disadvantage; does not protect against STIs

26
Q

Minipill definition

A

Oral progestins that provide the same action as combined oral contraceptives

27
Q

Definition/ advantage/ disadvantage of the morning after pill

A

Prevents fertilization fro taking place by inhibiting ovulation and the transport of sperm

Advantage; not taken on regular basis anyone can purchase easy to follow directions

Disadvantage; nausea, heavier than normal bleeding, lower abd pain, fatigue and HA, no long term contraception, does not terminate pregnancy, no protection against STIs

28
Q

Transcervical Sterilization definition/ education/ advantage/ disadvantage

A

Insertion of small flexible agents through the vaginitis and cervix into the fallopian tubes. Results in scar tissue in tubes, preventing contraception

Education; normal daily activities
Advantages; quick non hormonal no anesthesia needed effective in preventing pregnancy

Disadvantages; not reversible, not for postpartum clients menstrual changes. STIs

29
Q

Female sterilization; bilateral tubal ligation

A

Surgical procedure cutting or burning of the fallopian tubes

Advantage; permanent, after childbirth, decrease the risk for ovarian cancer

Disadvantage; surgical procedure carries risks, irreversible. STIs, risk of ectopic pregnancy

30
Q

Male Sterilization; Vasectomy

A

Surgical procedure ligations and severance of the vas defense

Advantage; permanent safe, no effect on sexual dysfunction
Disadvantage; surgery, reversal, STIs, granulomas, surgical risk

31
Q

What is infertility

A

Inability to conceive for a prolonged period

Decrease in sperm production, endometriosis, ovulation disorders, and tubal occlusions- scars

32
Q

Female assessment

A

Age duration of infertility, medical history, surgical history, GYN history, sexual history, pelvic exam, hormones, your thoughts of trying to get pregnant, family history, trust, substance abuse

33
Q

Diagnostic procedures for a female

A

Pelvic exam hormone analysis, postcoital test, ultrasonography, hysterosalpingography, hysteroscopy, laparoscopy

Gather this info and give to physician

34
Q

Diagnostic Procedure for a Male

A

Semen analysis

Ultrasonography

35
Q

Patient centered care for infertility

A

Nutritional, stress reeducation/ exercise, herbal medications, acupuncture, avoid high scrotal temperatures; no hot tubs

Read the room, communication

Always put the patient first

36
Q

Ovarian stimulation for infertility

A

Save mom first, stay on top o infections, treat partners for STIs also, clomiphene citrate, letrozole, met Forman, anti microbial medications; preexisting infections

37
Q

Assisted reproductive technologies

A

Intrauterine insemination
In vitro fertilization- embryo transfer IVF ET
Gamete intrafallopian transfer
Donor oocyte
Gestational carrier- embryo host
Surrogate mother
Therapeutic donor insemination

38
Q

Nursing interventions for infertility

A

Encourage
Explain roles of the medical team
Monitor the client
Provide and Advice client
Make referrals grief or infertility support groups
Chaplin
Honesty
V/S, B/P
Direct pt
Honesty always

39
Q

Complications of infertility

A

Ectopic pregnancy
Multiple gestations

Methotrexate- 2 injections in the butt = termination of pregnancy