Contraception

Question 1

effectiveness of birth control depends on…

Answer 1

The inherent effectiveness of the method itself
AND
How consistently and correctly it is used

Question 2

implants have estrogen or progesterone?

Answer 2

estrogen

Question 3

IUDs have estrogen or progesterone?

Answer 3

progesterone. specifically levonorgestrel

Question 4

How long does an implant typically last?

Answer 4

5 years

Question 5

How long does an IUD typically last?

Answer 5

average of 7 years

Question 6

combined hormonal contraceptives have estrogen or progesterone?

Answer 6

BOTH!

Question 7

What are some risks and nursing considerations for combined hormonal contraceptives?

Answer 7

contraindicated for women with hx of HTN, DVT or clotting disorders due to risk of ischemic, MI, hemorrhagic stroke, and clots.
as RN be actively monitoring pt BP

Question 8

what is fertility awareness method?

Answer 8

involves predicting when ovulation is occurring and abstaining or using barrier methods during fertile time. Only 76-88% effective

Question 9

some ways that ovulation is predicted?

Answer 9

basal temp, cervical mucus method, Apps, or marquette method

Question 10

what is the marquette method?

Answer 10

basically pee on a stick?

Question 11

female sterilization is….

Answer 11

known as tubes removed
permanent and irreversible

Question 12

what is the lactation amenorrhea method?

Answer 12

exclusively breastfeeding (no bottles or pumping). Only works for up to 6 months

Question 13

What are the 3 types of emergency contraception?

Answer 13

Plan B
Ella
Emergency IUD

Question 14

What is the abortion pill?

Answer 14

a type of medical abortion
FDA approved, but
illegal in some states. Other states is only for gestation 11 weeks or less
Efficacy depends on gestation but ~ >93%

Question 15

Phexxi

Answer 15

vaginal gel but does not contain spermicide which allows vagina to maintain pH and acidic level but gel works to decrease motility of sperm

Question 16

what are the two types of abortion pill?

Answer 16

MIFEPRESTONE
Progesterone blocker
Stops pregnancy from continuing

MISOPROSTOL
Take immediately or up to 48 hours after mifepristone
Causes cramping and bleeding to empty uterus

Question 17

risks and considerations for Plan B

Answer 17

OTC pill. works by delaying ovulation
Most effective if taken within 3 days after unprotected sex
Lowers your chance of getting pregnant by75–89% if taken within 3 days
May not work if you weigh >165 pounds

Question 18

risks and considerations for Ella

Answer 18

works by delaying ovulation
Prescription only
Works up to 5 days after unprotected sex
Lowers your chance of getting pregnant by85% if taken within 5 days
Weight limit is 195 pounds

Question 19

risks and considerations for emergency IUDs

Answer 19

only certain types of IUDs
if you get it put in within 5 days of unprotected sex
Can then stay in for 8-12 years as birth control
No weight limit
The most effective emergency contraception-Lowers your chances of getting pregnant by more than 99.9 percent