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Maternity Final > Contraception > Flashcards

Contraception Flashcards

1
Q

What type of contraceptive counseling should you give?

A

Individualized, not a lecture

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2
Q

What are things to consider when guiding decision making?

A

When she wants to conceive, efficacy, duration, timing, side effects, safety, what concerns her

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3
Q

What could impact contraception choice?

A

motivation, cost, cultural/religious, convenience, effectiveness, side effects, STI protection

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4
Q

What is the most important factor in the decision?

A

effectiveness

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5
Q

What prior knowledge should you assess?

A

past contraceptive use and myths/misconceptions

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6
Q

Begin with what is

A

most important to her

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7
Q

What should the nurse make sure?

A

they know all about the methods available to them

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8
Q

What should the enurse educate and ensure when a method has been chosen?

A

proper use of method and appropriate follow-up care

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9
Q

What makes a contraception good?

A

effectiveness, cost, ease of use, convenience, few side effects, reversability

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10
Q

What are the most effective contraceptive methods?

A

Implant, vasectomy, female sterilization, IUC

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11
Q

Failure rate mean

A

The percentage indicates the number out of every 100 women who experienced an unintended pregnancy within the first year of typical use of each contraceptive

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12
Q

What are the 2 types of birth control?

A

hormonal and non-hormonal

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13
Q

What are some examples of hormonal birth control?

A

oral contraceptive (pills), injection, patch, ring, certain IUD’s (mirena, skyla), implant (Nexplanon)

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14
Q

What are some examples of non hormonal birth control?

A

Paragard IUD, condoms, diaphragm/sponge, natural family planning, withdrawal`

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15
Q

birth control pills

A

long lasting, not permanent, alters woman’s hormones, no STI protection, doesn’t work with antibiotics

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16
Q

What birth control pills should breastfeeding woman take

A

progesterone only

17
Q

What birth control pills should woman over 35 who smoke take?

A

progesterone only

18
Q

Depo provera injecction

A

progesterone only, every 12 weeks, bone loss potential, unclear is reversible

19
Q

Nuvaring

A

flexible, soft ring inserted into vagina for 3 weeks, then a ring free week, absorbed directly in blood stream, same hormones as OC

20
Q

Patch

A

prevents ovulation, estrogen and progestin, 3 weeks on then patch free, absorbed directly into blood stream, higher compliance

21
Q

Where would you place a patch?

A

lower abdomen, upper outer arms, buttocks, upper torso

22
Q

Implant (Nexplanon)

A

releases steady dose of progestin into your body to prevent ovulation and thicken the mucus of woman’s cervix

23
Q

Details if implant

A

3 years protection, single rod, minor surgery to insert and remove

24
Q

Side effects if implant

A

irregular bleeding, headaches, weight gain, breast tenderness, depression

25
Q

Contraindications to implant

A

known or suspected pregnancy, active DVT, severe hepatic disease, personal hx of breast cancer, inability to tolerate irregular menses

26
Q

Why are long acting reversible contraceptives beneficial?

A

They are not user dependent

27
Q

What are the 3 IUD’s

A

Mirena, Skyla, paragard

28
Q

How does paragard differ from the other two IUD’s

A

no hormones

29
Q

Paragard (Copper IU system)

A

10 years of use, emergency contraception, no hormones

30
Q

What does a copper IUD do?

A

prevents fertilization, impairs the viability of the sperm, interferes with sperm movement Copper IUD in uterus

31
Q

Skyla

A

smaller than mirena, 3 year usage, good for woman who has never given birth

32
Q

MIrena

A

5 years, amenorrhea occurs in 20% of users

33
Q

What does mirena do?

A

inhibits sperm from reaching/fertilizing the egg, things uterine lining, thickens cervical mucus to prevent sperm from entering uterus

34
Q

Barrier methods

A

diaphragm, cervical cap, condoms, sponge

35
Q

Diaphragm

A

soft latex dome surronded by metal ring, use with jelly

36
Q

Timing of diaphram

A

insert up to 4 hours before intervourse and leave in 6 hours after

37
Q

What is tubal ligation

A

fallopian tubes are grasped and sealed with cautery or with rings, bands, or clips, then cut and tied

38
Q

Emergency contraception needs to be used

A

within 72 hours of unprotected intercourse

Maternity Final (7 decks)

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