Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ambulatory Care of Women > Contraception > Flashcards

Contraception Flashcards

1
Q

How many pregnancies are unplanned?

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most effective contraceptive methods?

A

IUC, implant, vasectomy, female sterilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Highest rates of complications in abortions?

A

Greater than 20 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Acronym BRAIDED for informed consent

A

Benefetis, risks, alternatives, inquiry, decision to stop, explanation of method, documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does progesterone do?

A

Provides most benefit. Thickens cervical mucous, blocks LH surge, inhibits capacitation of sperm, decreased tubal motility, and atrophy of endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does estrogen do?

A

Control cycle, decrease FSH, stabilize endometrium, prevents metrorrhagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dose of estradiol?

A

20-50 mcgs/day
20 mcg in patch
15 mcg in ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does mestranol do?

A

Metabolized by liver into EE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Perfect and typical rates of failure for contraceptive pills?

A

Perfect=.3

typical =8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Biphasic COC?

A

Mircette

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Triphasic COC?

A

Estrostrep, ortho-novum 77, orthotricyclen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Four phasic COC?

A

Natazia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What’s a 365 day active COC?

A

Lybrel. 90 mcg levonorestrel, 20 mcg of EE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Disadvantages of COC?

A

Gallbladder issues. No protection against STIs, daily administration, MI, Stroke, VTE, hypertension, may accelerate development of stones with women who have gallbladder problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Absolute contraindications to open with COCs?

A

> 35 and smokers, estrogen sensitivites, liver problmes, migraines with aura, uncontrolled hypertension, DM
with vascular involvement, stroke or MI, propensity for blood clots, polycythemia, undiagnosed abnormal vaginal bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Initial exam for initiating OCPs?

A

vitals, breast exam, pelvic, pap 21 y.o. or greater, GC/ chlamydia, urine screen for STIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How often should you prescribe birth control?

A

1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which pill should you use for COC?

A

Any pill is fine depending on contraindications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What pill to chose in uncomplicated diabetes?

A

Low EE, progestin, androgen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What pill to chose in sickle cell disease?

A

Not a contraindication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are contraindications to Yaz (Drosperinone)?

A

Hyperkalemia, renal insufficiency, hepatic dysfunction, adrenal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When to Start OC, regardless of menstrual cycle?

A

Take pill and use back up for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When don’t you need backup when starting OC?

A

First day of menses, or within 5 days after menses begins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

About starting on Sundays?

A

Take pill on sunday AFTER menses begins, and use backup for 7 says

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What do do if missed 1-2 pills? for EE >30

A

Take next pill and offer emergency contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What to do if missed 3 or more pills during first 2 weeks of pack? for EE >30

A

Condoms for 7 consecutive days of pills. Offer emergency contraceptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What do do if missed 3 or mor pills in 3rd weeks? for EE >30

A

Finish active pills and start new pack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What do you do for scan’t bleeding or spotting while on COC?

A

Increase estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What do you dog for acne, oily skin, hirsutism for COC?

A

Increase progestin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are drugs for acne, oily skin, hirsutism? OCOs

A

Ortho Tricyclen, estrostep, yasmin, desogen, Ovcon-35

31
Q

What do you do for GI (N/V) complaints while on COCs?

A

Take at night, decrease estrogen, or do progestin only

32
Q

What do you do for constipation/bloating?

A

Reduce dose of progestin

33
Q

What do you do for headaches?

A

Check BP, r/o migraine, stroke, d/c COCs, lower estrogen and progestin

34
Q

What do you do for eyes?

A

salaine drops, send to ophthalmologist

35
Q

What do you do for mastalgia?

A

Better bra and reduce estrogen and progesterone

36
Q

Whgat do you do for melanoma, chloasma?

A

Caused by estrogen stimulating melanocytes, do progestin only pill

37
Q

What drug can act with other potassium sparing drugs to cause hyperkalemia?

A

Drospireone

38
Q

What will St. John’s wart do?

A

decrease hormone levels of COC

39
Q

Warning signs for COCs? ACHES

A 
Abdominal Pain
Chest Pain
Headaches
Eye Problems
Severe Leg Pain
40
Q

Who shouldn’t take Orthoevra (Norelgestromin/EE)?

A

Patch- women over198 pounds

41
Q

How often do you change Orthoevera?

A

Every week

42
Q

What are those on Orthoevera at increased risk for?

A

Blood clots

43
Q

How long do you have to go without that patch that you need to use back up EC for 7 days?

A

Greater than 2 days

44
Q

How often do you insert nova ring?

A

every month

45
Q

How long can nuva ring be out for?

A

3 hours

46
Q

Risk of pregnancy with plan B?

A

35%

47
Q

What does plan B contain?

A

1.5 mg levonorgestrel

48
Q

Contraindications to Plan B?

A

Pregnancy, hypersensitivity, undiagnosed genital bleeding

49
Q

When should you take plan B?

A

Within 72 hours. 120 hours OK but reduced effectiveness.

50
Q

Ingredient in EllaOne?

A

Ulipristal acetate 30 mg

51
Q

How soon can you take ellaOne?

A

5 days. Effectiveness 62-85%

52
Q

What else can you use for emergency contraception?

A

Paragard, IUD upt o 5 days

53
Q

How long do you use protection after ellaOne?

A

2 weeks

54
Q

How long do you use progestin for Emergency contraception??

A

2 days

55
Q

Advantages of progestin only methods for COC?

A

can use if breastfeeding, scant or menses, decrease dysmenorrhea, decrease cyclic mood changes, headaches, nausea, reversible, low risk of ectopic pregnancy

56
Q

Disadvantages of progestin only COC

A

irregular menses, weight gain, breast tenderness, increased risk for ovarian cysts, possible increased risk for VTE

57
Q

What to do if you missed one Progestin only COC?

A

take next pill, if more than 3 hours use back up for 48 hours

58
Q

What to do if you missed 2 or more pills?

A

use back up. Take 2 pills per day for 2 days

59
Q

Warning signs for progestin only COC? Abdominal pain and regular cycles than delayed peirods

A

abdominal pain: ectopic pregnancy, ovarian cysts

Regular cycles than delayed periods: r/o pregnancy

60
Q

How often do you give Depo Provera?

A

every 12 weeks IM

61
Q

What is the fail rate for Depo Provera?

A

3%

62
Q

What is good about depo Provera for specific populations?

A

Fewer sickle cell crises

Decreased endometriosis and fibroids

63
Q

What can occur with DepoProvera?

A

Amenorrhea

64
Q

Major important side effects or warnings for DepoProvera?

A

Osteopenia

65
Q

Cumulative index with pregnancies for implant?

A

.38

66
Q

What medications shouldn’t you take with Implanon?

A

HIV drugs, St. John’s Wart

67
Q

Main reason why people discontinue implanon?

A

bleeding irregularities

68
Q

3 necessities for sterilization?

A

21 years of age
Mentally comptenet
Waiting 30 days after signing

69
Q

Advantages of female sterilization and disadvantages?

A

Decrease ovarian cancer and increase ectopic pregnancies

70
Q

Rate of conception if no method for birth control is used?

A

85%

71
Q

How does estrogen contribute to clotting?

A

decreases antithrombin III

72
Q

How does progestin inhibit androgens?

A

decreases LH

73
Q

How long do you leave caps and sponges and spermacide in after intercourse?

A

6 hours

74
Q

How long is egg and sperm viable for

A

egg- 24 hours

Sperm 72 hours

Ambulatory Care of Women (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions