ch 29: contraception & infertility

Question 1

educational, social, health care interventions that allow people to plan reproduction

Answer 1

family planning

Question 2

nurse’s roles in family planning

Answer 2

counselor, educator, informed consent witness/verification

Question 3

only contraception method 100% effective

Answer 3

abstinence

Question 4

T/F: pt acceptance of contraception is the least important thing

Answer 4

F

Question 5

barrier methods

Answer 5

male condom, female condom, cervical cap, diaphragm, sponge w/ spermicide, vaginal spermicide

Question 6

best protection against STIs and HIV; barrier method

Answer 6

male condom

Question 7

this barrier may give some STI protection

Answer 7

female condom

Question 8

placed in the vaginal to cover the cervix; no protection from STIs, replaced every 2y, specifically sized

Answer 8

diaphragm

Question 9

this contraception prevents ovulation

Answer 9

hormonal contraception

Question 10

progestin-only pills, safe for breastfeeding moms, all 28 pills contain progestin (no placebo)

Answer 10

POPs (type of hormonal contraception)

Question 11

progestin-only injection given q13wks until pregnancy desired; benefit = less frequent/scant menses; AE wt gain

Answer 11

depo provera (injectable)

Question 12

single rod inserted into arm by provider, protects against pregnancy for 3yrs

Answer 12

implanon

Question 13

inserted into uterus, contain progestin
- highly effective, inhibits sperm motility, survival, etc
- can be inserted as emergency contraception within 5-7days unprotected sex
- inhospitable changes to cervical mucous, endometrial lining, effects ovulation
- doesn’t disrupt preexisting pregnancy, sperm simply has inability to meet egg

Answer 13

intrauterine contraception (IUD,IUC)

Question 14

most common SE hormonal contraception

Answer 14

wt gain, breast tenderness, mood changes, vaginal discharge, breakthrough bleeding, nausea

Question 15

pt education hormonal contraception

Answer 15

take same time every day, if nauseous take before bedtime

Question 16

hormonal contraception is CI in:

Answer 16

cancer of breast/uterus, current liver disease, pregnant, undiagnosed abnormal vaginal bleeding, 35+ and smoke, hx MI or stroke, blood clots/inflammation of veins

Question 17

serious AEs of hormonal contraception:

Answer 17

blood clots, HTN, liver tumors, breast cancer risk, cervical cancer risk

Question 18

vasectomy, bilateral tube litigation –> highly effective

Answer 18

sterilization

Question 19

lack of pregnancy after 12mo well-timed intercourse; lack of pregnancy after 6mo if woman 35+

Answer 19

infertility