Brainscape's Knowledge GenomeTM

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


See full index

Women's Health > Contraception > Flashcards

Contraception Flashcards

1
Q

5 factors for contraceptive counseling

A 
personalized/shared decisions
rapport build
goalset
counseling
hx, CI ID
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The below are used to assess…

7 or fewer days after menses start or abortion

no intercourse since last menses

reliable contraception use

4 weeks postpartum

breast feeding, amenorrhea, < 6 mo post patum

A

pregnancy (99% predictive)

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

condoms should always be used for what reason

A

STI prevention

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

How effective?

implant
IUD
Vasectomy
tube tie

A

most effective

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

How effective?

OCPs
injections
patch
ring
diaphragm
A

2nd most effective

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

How effective?

male/female condoms

withdrawal

sponge

A

3rd most effective

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

how effective?

fertility awareness
spermicide

A

least effective

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

The below can have what side effects?

Pill, patch, ring

A

spotting for first few months

lighter periods

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

Which IUD can cause heavier periods?

A

copper

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

Which IUD can cause spotting, lighter, or no periods?

A

LNG

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

How long does an IUD last?

A

3-12 years

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

How long does an implant last?

A

3 years

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

Copper IUD lacks ______ and can therefore cause _______

A

hormones

cause more cramps

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

Does LNG IUD have estrogen? What effect on cramping?

A

no estrogen

reduced cramps

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

does an implant have estrogen?

A

no

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

Do injectables have estrogen? what effect on cramping

A

no estrogen

reduced cramps

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

These forms of contraception may reduce cramps/anemia, improve acne, lower CA risk

A

pill, patch, ring

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

how long does the patch last?

A

week

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

how long does the ring last?

A

month

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

women w. 26-32 day cycles can use what method of natural family planning?

A

standard days method

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

in the standard days method, sex is abstained from on what days?

A

8-19

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

women w/out 26-32 day cycles can use what method of natural family planning?

A

calendar method

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

calendar method requires monitoring cycles for how long?

A

6 mo

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

In the calendar method, the first day of the fertile period is…

A

length of shortest menstrual cycle - 18 days, add that number from 1st day of cycle

25
Q

in the calendar method, the last day of the fertile period is

A

length of longest menstrual cycle - 11 days = add that number to the first day of that cycle

26
Q

When is it ok to have intercourse using the 2 day method of natural family planning?

A

no cervical secretions for 2 consecutive days

27
Q

Which method of natural family planning?

Check cervical mucus daily

Peak day = last day of “stretchy” clear mucus

Fertile period occurs w/ 1 st signs of mucus and continues until 4 days after
peak day

A

cervical mucous method

28
Q

in the cervical mucus method, abstinence should occur when?

A

any cervical secretion until 4 days after peak day

29
Q

Which method of natural family planning?

Check basal body
temperature upon
wakening every AM
before getting out of bed

Rise in temperature of
0.5 1* F = ovulation

Abstain from sex from
end of menstrual period
until 3 days after
temperature increase

A

basal body temperature method

30
Q

Which method of natural family planning?

Combination of cervical
mucus + basal body temp
methods

Also monitor for physical
signs of ovulation

Fertile period: 1 st sign of
ovulation until 3 days after
temp rise or 4 days after
peak mucus

A

symptothermal

31
Q

Which type of female barrier/spermicidal method?

can be left in place 48 hrs

must be in for 6 hours after cex

A

cervical cap

32
Q

Which type of female barrier/spermicidal method?

can be left in place 24 hrs

must leave in for 6 hours after sex

A

diaphragm

33
Q

how far in advance can condoms for women be inserted?

A

8 hours in advance

34
Q

Which type of female barrier/spermicidal method?

release continual spermicide

must remain in place 6 hrs after sex

A

sponge

35
Q

2 disadvantages of female barrier/spermicidal methods

A 
UTI risk (diaphragm)
no HIV protection
36
Q

2 advantages of female barrier/spermicidal methods

A

no effect on menses

immediately active

37
Q

Emergency OCPs must be taken as ___ doses within ____

A

2 doses within 72 hours of unprotected sex

38
Q

an IUD can be used as emergency contraception if placed within ______ of unprotected sex

A

5 days

39
Q

What type of emergency contraception?

selective progesterone receptor modulator

effective for 5 days after unprotected intercourse

A

ella/ulipristal acetate

40
Q

Duration of the below…

Oral Contraceptive Pills (“the pill”)
Nuva Ring ® (vaginal ring)
OrthoEvra Patch ® (“the patch”)
Depo Provera ® (“the shot”)

A

short acting/frequent use

41
Q

What type of contraceptive is good for women with the below:

Women who have a short interval prior to wanting a pregnancy

Women who are not looking for long term pregnancy prevention

Women using these methods for non-contraceptive benefits

Uninsured women with financial concerns

A

OCPs/ring/patch/shot (short acting)

42
Q

why must BP be measured before starting COCs?

A

ID severe HTN

43
Q

Which type of COC?

Single dose of estrogen and progesterone for 21-24 days; + placebo pills for 4-7 days

A

monophasic pill

44
Q

What is the preferred monophasic formulation due to increased efficacy and decreased hormone withdrawal SEs?

A

24/4 or 21/7

45
Q

Which type of COC?

Differing dose of estrogen and progesterone throughout the course of the pack; +placebo pills usually for 7 days

A

triphasic

46
Q

Which type of COC?

Usually monophasic

Packaged with 84 active pills and 7 placebo pills (seasonale) or 365 days of active pills (lybrel).

A

continuous

47
Q

The below are adverse effects of…

HTN
VTE
MI/CVA
Lipid/metabolic changes

A

COCs

48
Q

Which OCP has the below mechanism?

thickens cervical mucus to prevent sperm entry

Thin endometrium (inhibits implantation)

Ovulation suppression in 50% of cycles

Slows sperm motility
A

progestin only pill/mini pill

49
Q

progestin only pills are used for…

A

nursing mothers or estrogen C/I

50
Q

The below are adverse effects for:

Limited window for missed pills (>3 hours late taking dose will decrease effectiveness)

Increased spotting/intermenstrual bleeding

Intermittent amenorrhea

A

progestin only pills

51
Q

The below are C/Is for what contraceptive method?

Age ≥35 years and smoking

Hypertension uncontrolled

Migraine with aura

Diabetes mellitus

VTE

Known ischemic heart disease

History of stroke

breast cancer

severe cirrhosis

A

COCs

52
Q

implants have which hormone?

A

progestin only

53
Q

implants can be a good choice for women with…

A

estrogen contraindications

54
Q

Levonorgestrel IUD confers increased risk of…

A

ovarian cyst

55
Q

how does a copper IUD work?

A

prevents sperm motility

56
Q

IUD has increased risk of what conditions?

A

ectopic pregnancy
miscarriage
preterm delivery

57
Q

three forms of female sterilization

A

tube ligation
salpingectomy
hysteroscopic

58
Q

4 types of tube ligation…

A

removal
band
clip
essure

Women's Health (10 decks)

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