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PC 615 mod 3 > camtasia- hormonal contraception recap > Flashcards

camtasia- hormonal contraception recap Flashcards

1
Q

But multiple risk factors for CVD is WHO category

A

Four

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2
Q

Blood pressure greater than 160/100 is WHO category

A

Four

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3
Q

Cardiac valvular disease with complications such as hypertension, afib, history of SBE is WHO category

A

Four

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4
Q

Current DVT/PE, and most women with a history of DVT, is a WHO category

A

Four

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5
Q

Major surgery with prolong the mobilization is WHO category

A

Four

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6
Q

Known thrombogenetic mutations is WHO category

A

Four

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7
Q

Past to our current ischemia heart disease is WHO category

A

Four

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8
Q

The history of CVA

A

Is category four

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9
Q

Migraine with aura

A

Is category four

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10
Q

Migraine without aura, age greater than 35

A

This category 3/4

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11
Q

Current breast cancer is category

A

Four

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12
Q

History of breast cancer and no evidence of disease for past five years is category

A

Three

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13
Q

Diabetes with neuropathy, retinopathy, vascular disease, are greater than 20 years duration is category

A

3/4

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14
Q

Active viral hepatitis

A

Is category four

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15
Q

Severe cirrhosis are malignant liver tumors this category

A

Four

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16
Q

If a woman is a light smoker age 35 to 40 how would you advise her with COC?

A

Use caution

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17
Q

An otherwise healthy woman less than 35 years old COCs are considered

A

Acceptable

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18
Q

Smoking more than 15 cigarettes per day in over a age 35 is

A

Category four -no COC

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19
Q

Any smoking over age 40 is

A

Category four absolutely no COC

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20
Q

For a postpartum woman not breastfeeding: before three weeks postpartum, COC is category

A

Four

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21
Q

For a postpartum woman not breastfeeding:

Between three and six weeks postpartum with risk for V TE, the risk is category

A

3/4

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22
Q

For a postpartum woman not breastfeeding, between three and six weeks with no risk for VTE, the risk category is

A

Two

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23
Q

For breastfeeding women avoid estrogen containing methods because of

A

Milk supply issues

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24
Q

For breastfeeding women estrogen containing methods should be avoided at least

A

Six weeks postpartum

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25
Q

Do some advise to avoid estrogen products for the duration of breastfeeding?

A

Yes, they do!

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26
Q

What method is preferred to start COC by the WHO

A

Quickstart method

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27
Q

On the Quickstart method, when you take the first pill ?

A

Th th the day of the office visit

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28
Q

How long should you use backup methods on Quickstart?

A

Seven days

29
Q

If you start on the first day of menses do you need backup?

A

No

30
Q

If you start on the Sunday after menses how long will you need backup?

A

Use backup for seven days if pill started more than five days after menses started.

31
Q

When you counsel a patient regarding COC, but you must include information regarding what to do if

A

But you miss a pill

32
Q

If you miss a pill, emergency contraception may be needed if you’ve had unprotected sex in the past

A

Five days

33
Q

For most women, advises follows: the first day you may as a pill,

A

Take two pills and use condoms for the next seven days

34
Q

Most common side effects of Ortho EVERA or the patch

A

Skin reactions, breasts symptoms, headache, nausea.

35
Q

Can women greater than 198 pounds use the patch

A

Not advised, there may be a greater risk of pregnancy

36
Q

Can you start the patch on the first day of menses

A

Us no need for backup

37
Q

If you use the Quickstart method should you use backup?

A

yes. Use backup for seven days

38
Q

If the patches lose our off for less than 24 hours

A

Reapply firmly. Do not use other adhesives and wraps

39
Q

If the patch is loose or off for greater than 24 hours

A

Start new patch cycle immediately
Use backup for seven days
This is now a new patch change day

40
Q

nuvaring but most common side effects that are

A

Headache, leucorrhea, ring expulsion, in foreign body sensation.

41
Q

Should the nuvaring occupy a special position in the vagina?

A

No

42
Q

Can nuvaring be removed?

A

Yes for up to three continuous hours.

43
Q

If nuvaring is removed greater than three continuous hours in weeks one or two,

A

Reinsert the same ring as soon as possible in use backup for seven days.

44
Q

If nuvaring is out of the vagina greater than 3 continuous hours, in week three,

A

insert new ring

45
Q

What is the only category 4 for condition listed for Depo-Provera, and progesterone only pills?

A

Breast cancer

46
Q

What are common changes with depo-provera and pops?

A

Menstrual cycle changes are very common

47
Q

Depo-provera may produce

A

Unpredictable bleeding

48
Q

½ of all women using Depo-Provera are without a period For

A

One year

49
Q

80% of all women using depo-provera are without a menstrual cycle after

A

Five years

50
Q

Progesterone only pills produce

A

Short and irregular cycles

51
Q

Less commonly progesterone only pills produced

A

Prolonged bleeding and amenorrhea.

52
Q

Common side effects for depo-provera are

A

Weight gain, depression

53
Q

For depo-provera a backup method is needed for

A

One week after the first injection and less given during the first five days after beginning a normal cycle.

54
Q

If more than one week late for depo-provera injection you should

A

Exclude pregnancy and use backup for seven days after RE initiating

55
Q

How long will it take to return to fertility when depo-provera is discontinued

A

6 to 12 months

56
Q

What are warning signals when I’m depo-provera

A 
Repeated, very painful headaches
That heavy bleeding
Depression
Severe lower abdominal pain
pus
Prolonged pain
Bleeding at injection site
57
Q

Progesterone only pills

Regular periods may indicate that the user is

A

ovulating

58
Q

What time of day should you take pops?

A

Take at exactly the same time each day and never longer than 24 hours since last dose

59
Q

If more than 2 to 3 hours late taking pops, you must use

A

A backup method for 48 hours until you are back on schedule.

60
Q

Pop’s are considered to be a as effective as COC provided the woman can

A

Adhere to the dosing schedule

61
Q

implanon is category four for what?

A

Breast cancer

62
Q

Is implanon easily reversed?

A

yes, it is quickly reversible

63
Q

Adverse reactions from implanon are

A

Menstrual cycle disturbances are common

There may be inflammation, infection, are breezing at the site of insertion.

64
Q

But but can you gain weight on implanon?

A

Average weight gain is less than 5 pounds.

65
Q

Implanon must be inserted in the first

A

Five days after menses begins.

If so no backup is needed.

66
Q

Is a backup needed if implanon is inserted longer than five days after menses begins?

A

Yes, backup is needed for seven days.

67
Q

Implanon is intended to provide contraception for

A

Three years

68
Q

Implanon that can be inserted in postpartum nursing mothers at

A

Four weeks

PC 615 mod 3 (5 decks)

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