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OB+GYN > Family Planning > Flashcards

Family Planning Flashcards

1
Q

Using the calendar method of family planning, unprotected vaginal sex should be avoided on which days of the menstrual cycle

A

Days 8-19

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2
Q

Color of beads that indicate the fertile window (days the patient can get pregnant)

A

White

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3
Q

Color of beads that indicate pregnancy is unlikely

A

Brown

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4
Q

Total number of beads on the CycleBeads

A

32

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5
Q

Family planning method wherein calculations of the cycle are updayed monthly using the 6 most recent cycles

A

Calendar rhythm method

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6
Q

Anna uses the calendar rhythm method for family planning. Her shortest cycle was 24 days while her longest cycle was 31 days. What is her fertile window for this month?

A

Day 6-20

[(short - 18) - (long - 11)]
She can start unprotected sex again on day 21.

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7
Q

The 2 day method for cervical secretions indicates that a patient can resume unprotected sex on day [num], after [num] _____ days

A

Day 3, after 2 dry days

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8
Q

Family planning method that looks at the peak in cervical secretions as a basis for starting unprotected sex

A

Billings (Ovulation) method

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9
Q

Using the Billing’s/Ovulation method of family planning, a patient can resume unprotected sex on day [num], after the peak in cervical secretions

A

Day 4

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10
Q

According to the Basal body temperature method, a woman is fertile up to ___ days after a rise in BBT

A

3 days after a rise in BBT

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11
Q

The Symptothermal method is a combination of which 2 methods

A

Billing’s (Ovulation) method
Basal Body Temperature (BBT) method

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12
Q

Using the Symptothermal Method of family planning, a patient can resume unprotected sex on day ___ after peak in cervical secretions or day ___ after rise in BBT. Whichever comes ______.

A

Day 4
Day 3
Later

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13
Q

3 conditions for successful Lactation amenorrhea method

A

1) Fully or nearly fully breastfeeding (75-100%)
2) Monthly menstrual cycle has not resumed
3) Baby is less than 6 months old

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14
Q

The 2 hormone components of combined oral contraceptive pills

A

Estrogen and Progestin

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15
Q

Within a 28-day pack of COCs, which pills are active and which pills are inactive

A

Pills 1 - 21/24 = Active
Pills 22/25 - 28 = Inactive

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16
Q

Use of COCs protects the user from _________ and _________ cancers

A

Ovarian and Endometrial

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17
Q

Use of COCs for ≥ 5 years appears to increase slightly the risk for _________ cancer

A

Cervical

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18
Q

True or False: COCs are contraindicated for Smokers > 35 years old

A

True

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19
Q

True or False: POPs are contraindicated for Smokers > 35 years old

A

False

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20
Q

For COCs use, a backup method should be used if pills are missed for ≥ ___ days

A

3

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21
Q

For patients who missed a COC pill ≥ 3 days:

ECP should be taken if the patient had sex in the past ____ days

A

5

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22
Q

Hormonal Component of POPs

A

Progestin

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23
Q

3 mechanisms of action of both COCs and POPs

A

1) Thickening of cervical mucus
2) Thinning of endometrial lining
3) Preventing ovulation

24
Q

____ pills are more effective in breastfeeding women

A

POPs

25
Q

T/F: All pills in a pack of POPs are active

A

True

26
Q

Common Side effects of Progestin only injectables

A

Irregular bleeding
Weight gain 1-2kg

27
Q

T/F: There is no delay in return of fertility with the use of Progestin only injectables

A

False

DMPA - 4 months delay
NET-EN - 1 month delay

28
Q

2 classes of Progestin only injectables and the interval of their doses

A

DMPA (Depot medroxyprogesterona Acetate) - every 3 months

Norethisterone enanthate (NET-EN) - every 2 months

29
Q

Contraceptive method that helps protect against iron deficiency anemia

A

Progestin only injectables (DMPA and NET-EN)

30
Q

Injection window for DMPA and NET-EN

A

DMPA: up to 2 weeks early - 4 weeks late

NET-EN: up to 2 weeks early - 2 weeks late

31
Q

Duration of protection with the use of Progestin-only implants

A

3-5 years

32
Q

Progestin only implant that is composed of 2 rods containing levonorgestrel

A

Jadelle

33
Q

Progestin only implant that is composed of 1 rod containing etonorgestrel

A

Implanon NXT (Nexplanon)

34
Q

When to start progestin only implant if:

Having menstrual cycles/is switching from a nonhormonal method

A

Any time of the month.
> If starting within the first 7 days, no backup required
> if starting ≥ 7 days after start of bleeding, make sure not pregnant and have a backup method

35
Q

When to start progestin only implant if:

Switching from another hormonal method

A

Immediately if using the hormonal method consistently and correctly
> no backup method required

36
Q

When to start progestin only implant if:

switching from progestin only injectable

A

Implant can be inserted when the repeat injection would have been given. NO backup required.

37
Q

Duration of effective protection for copper-bearing IUDs

A

up to 12 years

38
Q

Common side effects of copper-bearing IUDs

A

Bleeding changes
Cramps/pain

39
Q

The use of Copper-bearing IUDs protects against ________ cancer

A

Endometrial

40
Q

Complication of the use of Copper bearing IUDs in patients with chlamydia or gonorrhea at the time of insertion

A

Pelvic inflammatory disease (PID)

41
Q

Addition to the workup before administering an IUD

A

Pelvic examination
STI risk assessment

42
Q

When to start copper IUDs if:

Having menstrual cycles

A

Any time of the month.
> If starting within the first 12 days, NO backup required
> if starting ≥ 12 days after start of bleeding, make sure not pregnant. NO backup required

43
Q

When to start copper IUDs if:

switching from another hormonal method

A

Immediately if using the hormonal method consistently and correctly
> no backup method required

44
Q

When to start copper IUDs if:

switching from progestin only injectable

A

Copper IUD can be inserted when the repeat injection would have been given. NO backup required.

45
Q

When to start copper IUDs if:

Soon after childbirth (regardless of breastfeeding)

A

Any time within 48 hours after giving birth

If > 48 hours have passed, delay until 4 weeks up to 6 months

46
Q

When to start copper IUDs if:

within 12 days after 1st or 2nd trimester

A

> Copper IUD inserted Immediately
NO backup required

47
Q

When to start copper IUDs if:

After 12 days following 1st or 2nd trimester

A

> Confirm no more pregnancy
Copper IUD inserted Immediately
NO backup required

48
Q

When to start copper IUDs if:

After 2nd trimester abortion

A

Delay insertion 4 weeks

49
Q

When to start copper IUDs if:

within 5 days after unprotected sex, no intake of ECP

A

> Copper IUD inserted Immediately
NO backup required

50
Q

When to start copper IUDs if:

within 5 days after unprotected sex, WITH intake of ECP

A

> Copper IUD can be inserted on the same day that she takes the ECPs
NO backup required

51
Q

Duration of effective protection for Levonorgestrel (LNG) containing IUDs

A

up to 5 years

52
Q

Complication of LNG IUDs on ovaries

A

Ovarian cysts

53
Q

When to start LNG IUDs if:

Having menstrual cycles

A

Any time of the month.
> If starting within the first 7 days, NO backup required
> if starting ≥ 7 days after start of bleeding, make sure not pregnant. backup method IS required

54
Q

When to start LNG IUDs if:

switching from another hormonal method

A

Immediately if using the hormonal method consistently and correctly
CAVEAT:
> If starting within the first 7 days, NO backup required
> if starting ≥ 7 days after start of bleeding, make sure not pregnant. backup method required

55
Q

When to start LNG IUDs if:

within 5 days after unprotected sex, WITH intake of ECP

A

Delay insertion to the 7th day after ECP intake. LNG IUDs CANNOT be inserted on the same day and within 6 days following ECP intake

56
Q

Dose regimen for Emergency contraceptive pills

A

2 dose regimen:

1 dose as soon as possible after unprotected sex, next dose after 12 hours

57
Q

Contraceptive method safe for postpartum lactating mothers

A

Progestin only pills
Progestin only injectables
Progestin only implants

OB+GYN (11 decks)

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