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Preventative Medicine > Family Planning > Flashcards

Family Planning Flashcards

1
Q

T/F 200 million women who do NOT want to get pregnant but do NOT have access to contraceptives

A

True

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2
Q

What power should every woman have?

A

the power to and right to plan for her child

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3
Q

What is birth control?

A

actions, sexual practices or surgical procedures used to prevent fertilization between female egg and male sperm

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4
Q

What is contraception?

A

devices, drugs, agents, or surgical procedures used to PREVENT or TERMINATE a pregnancy

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5
Q

condoms, intra-uterine devices, spermicidal gels and abortion are WHAT

A

contraception

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6
Q

abstinence from sex, withdrawal method, ligation and vasectomy are WHAT

A

Birth control

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7
Q

ANYTHING that interrupts or prevents pregnancy is

A

birth control

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8
Q

Abstinence from sex works how well

A

100%

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9
Q

what prevents conception or impregnation (conceiving)

A

contraception

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10
Q

What is the best method for contraceptive counseling

A

one that the pt chooses for herself and will use CONSISTENTLY and CORRECTLY

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11
Q

What should every provider ask their patient at every visit

A

about her contraceptive needs and experience

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12
Q

Contraceptive counseling for adolescents should

A

debunk myths

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13
Q

T/F majority of teen pregnancies nationwide result from sex w/ men over age 21

A

TRUE

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14
Q

Preventing preggo and protecting from STD are

A

TOO Different Things

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15
Q

T/F a contraceptive may NOT AT ALL prevent STD

A

True

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16
Q

What are the highly effective contraceptives?

A

Injectable contraceptives
Intrauterine devices
Subdermal progestin implants

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17
Q

What are the effective contraceptives

A

Oral contraceptives
Transdermal patch
Vaginal rings

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18
Q

What are the less effective contraceptives

A 
Condoms
Diaphragms
Cervical Caps
Spermicides
Sponges
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19
Q

What are 3 types of contraceptives

A

Hormonal
Barrier
IUD

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20
Q

What are 6 types of hormonal methods

A 
pill
injections (Depo-Provera)
implants
patch
vaginal ring
ECP
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21
Q

Combined OC (estrogen + progestin) are how effective

A

95%

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22
Q

POP (progestin only pills) are how effective

A

92%

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23
Q

Do women need a pap smear to get a prescription OCP

A

NO

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24
Q

How does the pill work

A

stops ovulation- primary
thins uterine lining
thickens cervical mucus

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25
Q

What the primary target of the pill

A

STOP Ovulation

and making difficulty

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26
Q

What are 5 benefits to the pills

A 
eases menstrual cramps
shortens period
decreases incidence of ovarian cysts
prevents ovarian and uterine cancer
DECREASES ACNE
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27
Q

What are 6 side effects of pills

A 
breast tenderness
Nausea
Increase in headaches
Moodiness
Weight Change (mayb)
Spotting
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28
Q

What are the warning signs of OCs

A 
ACHES
A-abdominal pain
C- chest pain, SOB
H- headaches (severe)
E- eye problems (blurred vision, blindness, flash)
S- severe leg pain (clots)
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29
Q

What is the BIGGEST risk of OCs

A

risk of blood clots, deep vein thrombo

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30
Q

Who shouldn’t take OCs

A

> 35Y smoke, diabetes, hypertension or migraine headaches

OR
any age + ischemic heart disease, hx of stroke, diabetes w/ vascular changes, migraine w/ aura, uncontrolled hypertension

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31
Q

How is the pill taken?

A

once a day SAME time erry day

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32
Q

T/F the pill offers protection from STDs

A

FALSE

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33
Q

What should you do if you miss a pill or take it late

A

use condom for 1 wk

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34
Q

Who is the Depo-Provera taken?

A

a shot q 3mo

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35
Q

How effective is Depo-Provera?

A

97%

36
Q

How does Depo-Provera work?

A

Stops ovulation
Stops menstrual cycles
Thickens cervical mucus

37
Q

What is a big Contraindication to Depo-Provera?

A

slowly reversible, not a good choice for future pregnancy

38
Q

How are implants used?

A

progestin filled implant placed under skin in arm

39
Q

What does implants prevent

A

ovulation

40
Q

How effective are implants

A

99.9%

41
Q

What are the advantages of implants

A

convenience
eliminates user error
no menses or very light
decreased cramping

42
Q

How long does it take fertility to return after a implant?

A

IMMEDIATELY after removal

43
Q

What are contraindications of implants

A 
liver dx
breast cancer
cardio dx
unexplained vaginal bleed
preggo
smoker
44
Q

Transdermal patches contain

A

estrogen and progestin

45
Q

How are patches used

A

replaced weekly

46
Q

MOA for patch

A

prevents ovulation

47
Q

What is a con to wearing a patch

A

visibly seen, can’t wear swimsuit, skin irritation from (adhesive)

48
Q

Vaginal rings contain

A

estradiol and progestin

49
Q

What is a benefit to vaginal rings

A

discrete, and yields lower and more consistent serum levels than others

50
Q

When should EMERGENCY contraceptive be taken

A

< 72 hrs of the act of unprotected intercourse

51
Q

How effective is Plan B?

A

75%

52
Q

Who can purchase Plan B One-step?

A

any age OTC

53
Q

Women younger than 15yr (17) can only receive the other brands of ECP by

A

prescription

54
Q

MOA ECP

A

floods the ovaries w/ high amounts of progestin preventing ovulation, alters the uterus

55
Q

How can ECP be taken for best effect?

A

TWO pills exactly 12 hrs apart or as single dose

56
Q

What are 5 barrier methods

A 
spermicides
male condom
female condom
diaphragm
cervical cap
57
Q

MOA of barrier methods

A

prevent egg and sperm from meeting

58
Q

Which birth control has the highest failure

A

barrier methods

59
Q

MOA of spermicides

A

chemicals kill sperm

60
Q

How effective are spermicides when used alone?

A

70-85%

Should be used with another method (condoms)

61
Q

What form of spermicides have to be pre-inserted

A

suppository

62
Q

T/F spermicides protect against STIs?

A

FALSE

63
Q

What can reduce STI (HIV)

A

synthetic condoms (latex)

64
Q

most common and effective barrier when used properly

A

male condom

65
Q

Male condom effectiveness

A

88%

66
Q

Male condom + spermicide effectivness?

A

99%

67
Q

What condom will not protect against STI and or prevent pregnancy

A

Natural condoms

68
Q

What are natural condoms made from

A

sheep intestines (pores)

69
Q

Female condoms are usually typically effective

A

79%

70
Q

How effective is diphragm

A

80%

71
Q

A latex barrier placed inside the vagina

A

diaphragm

cervical cap

72
Q

Use to be a popular method, now only used by 1% of women

A

diaphragm

73
Q

Which barrier must be fitted by a physician

A

diaphragm

74
Q

fits around the cervix with suction

A

cervical cap

75
Q

cervical caps can be left in for how long

A

48hrs, but must be left in place 6 hrs after sex

76
Q

How are diaphragms used

A

inserted up to 18hrs before sex and left in for 24hrs

77
Q

Effectiveness of IUD

A

99%

78
Q

Low maintenance, ideal for long term contraception

A

Intrauterine devices

79
Q

When are IUD most cost effective?

A

when used >2yrs

80
Q

Which IUD is hormonal or non hormnal

A

ParaGard Copper T- non hormonal

Levonorgestrel- hormonal

81
Q

Which IUD can remain in place for 10 years

A

ParaGard Copper T

82
Q

For how long can Levonorgestrel remain in place

A

5 years (bc hormones drops)

83
Q

MOA ParaGard Copper T

A

COPPER remains on IUD acts a spermicide

84
Q

MOA Levonorgestrel

A

Progestin thickens cervical mucus and suppresses endometrium

85
Q

What must be checked when using ParaGard or Levonorgestrol

A

string

before and after sex and shedding of uterine lining

86
Q

Which IUD improves dysmenorrhea and reduces menorrhagia

A

Levonorgestrel

Preventative Medicine (7 decks)

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