Contraception

Question 1

What does BRAIDED stand for?

Answer 1

benefits
risk
alternative
inquires
decisions
explanations
documentation

Question 2

info about advantages and success rate

Answer 2

benefits

Question 3

info about disadvantages and failure rates

Answer 3

risk

Question 4

info about other available methods

Answer 4

alternative

Question 5

opportunities to ask questions

Answer 5

inquires

Question 6

opportunities to decides or to change mind

Answer 6

decisions

Question 7

info about methods and how to use it/ how it is used

Answer 7

explanations

Question 8

info given and patients understanding

Answer 8

documentation

Question 9

barrier methods =

Answer 9

male and female condoms
- used on conjunctive with spermicidal foam to increased effectiveness
-recommended to prevent STDs for couples not in long-standing, mutually monogamous relationship
spermicides alone are not effective when a highly reliable contraceptive method is sought (work by reducing the sperm mobility)

Question 10

what does ACHES = serious side effects of oral contraceptives stand for?

Answer 10

Abdominal pain
Chest pain and SOB
Severe headache
Eye problems such as vision loss, dizziness, and blurring of vision
Severe leg pain and swelling

Question 11

Abdominal pain =

Answer 11

liver/gallbladder

Question 12

chest pain and SOB =

Answer 12

possible clot in the lungs or heart

Question 13

severe headache

Answer 13

HTN or CV accident

Question 14

eye problems such as vision loss, dizziness, and blurring of vision =

Answer 14

HTN or CV accident

Question 15

severe leg pain and swelling =

Answer 15

thromboembolic process

Question 16

contains a combination of estrogen and progestin
placed on the abdomen, butt, upper outer arm, or torso, BUT NOT THE BREAST!
replace every 3 weeks
not used for one week to allow period, 28 day cycle is then repeated

Answer 16

Transdermal patch

Question 17

small flexible ring inserted deep into the vagina for 3 out of every 4 weeks
new ring used for each 4 week cycle
delivers continuous levels of progestin and ethinyl estradiol

Answer 17

Vaginal Ring

Question 18

IM injection containing synthetic progesterone 150 mg IM
menstrual bleeding diminished or absent
given every 11-13 weeks
suppresses ovulation and produces a thick cervical mucus that decreases sperm motility
may be a delay in fertility for up to 18 months when discontinues
must be given 1st 5 days of menstrual cycle

Answer 18

Depo-Provera Shot

Question 19

Synthetic progestin is released to prevent ovulation for about 3 years
can be inserted under the skin of the upper inner arm
good for at least 3 years and must then be removed

Answer 19

Single-Rod Implant

Question 20

Contains copper or progesterone and is inserted into the uterus by the health care provider
provides continuous protection so compliance is not an issue
sting protrudes from the vagina
side effects: irregular period, increased bleeding/cramping
paragara copper T 380 = good for up to 10 years
Mirena and Kyleena = good for up to 5 years
Skyla and Liletta = good for 3 years

Answer 20

Intrauterine Device (IUD)

Question 21

What does PAINS stand for?

Answer 21

P= period late abnormal spotting or bleeding
A= abdominal pain; pain during intercourse
I= infection exposure; STIs
N= not feeling well; fever and chills
S= string missing; shorter or longer

Question 22

Combination of estrogen and progestin
1. Monophasic
2. Multiphasic
Progestin only (sometimes called mini-pill)
1. cervical mucus remains thick and does not provide a suitable environment for sperm penetration

Answer 22

Oral Contraceptives

Question 23

fixed dose of estrogen & progestin

Answer 23

Monophasic

Question 24

alter the amount of progestin and sometimes the amount of estrogen within each cycle

Answer 24

Multiphasic

Question 25

Side effects of oral contraceptives?

Answer 25

breakthrough bleeding
headache
nausea
breast tenderness
acne
depression
fatigue
weight gain

Question 26

Serious side effects of oral contraceptives?

Answer 26

stroke
MI
thromboembolism
HTN
gallbladder disease
liver tumors

Question 27

Hormonal Therapy can cause?

Answer 27

thrombophlebitis
pulmonary embolism
CVA
CAD
breast cancer
impaired liver function
severe HTN

Question 28

What are examples of Hormonal Therapy?

Answer 28

Oral Contraceptives
Transdermal Patch
Depo-Provers Shot
Vaginal Ring
Single Rod Implant
Intrauterine Device (IUD)
Emergency Contraceptives

Question 29

Problems with IUDs:

Answer 29

not recommended for women who have not had children
not recommended for women with a history of PID
if pregnancy occurs with IUD in place, increased risk for miscarriage or pre-mature labor.

Question 30

Round flexible device that covers the cervix
must be fitted for size by DR
inserted into the vagina up to 6 H before intercourse
used with spermicidal jelly or cream

Answer 30

Diaphragm

Question 31

Insertion of copper IUD
Ingestion of increased dose progesterone- only pill (plan B)
Ingestion of high dose combination or oral contraceptive
Take ASAP but within 72 H of intercourse
Can be bought OTC

Answer 31

Emergency Contraceptives