Miscellaneous 2 Flashcards
What age do the Fraser Guidelines apply to?
Below the age of 16
What should be discussed at the beginning of the consultation with young people?
Need to breach confidentiality if concerns arise
Please draw out the menstrual cycle hormone graph.
What is the earliest ovulation date within a menstrual cycle?
The shortest menstrual cycle length minus 14 days = earliest ovulation date
In a 28 day cycle, what consistency is the cervical mucus on days 7 to 9 and 19 to 28?
Dry
In a 28 day cycle, what consistency is the cervical mucous on days 10 to 12 and 16 to 17?
Moist, white and sticky
In a 28 day cycle, what consistency is the cervical mucous on days 13 to 15?
Wet, clear and stretchy
What is the role of the hypothalamus in the female cycle?
- Regulating hormones from the hypothalamus (such as gonadotrophin releasing hormone, GnRH) stimulate the release of follicle stimulating hormone (FSH) and luteinising hormone (LH) by the anterior pituitary gland.
- GnRH travels down the pituitary stalk from the hypothalamus to the anterior pituitary. The anterior pituitary is richly supplied by blood vessels and the release of FSH and LH into this plexus of blood vessels transports the hormones into the general circulation and then to the ovaries. This results in the maturation of oocytes each month, and release of one from the ovary (ovulation).
Up to how many days does a single sperm survive in the female upper genital tract?
5 days
What should you check before giving the Sayana Press?
- Migraine headaches
- Diabetes or a family history of diabetes
- Severe pain or swelling in the calf (indicating a possible clot in the leg, which may be called phlebitis) * A blood clot in the lung (pulmonary embolism)
- A history of heart disease or cholesterol problems including any family history
- Past history of depression
- Irregular, light, or heavy menstrual periods
- An unusual breast x-ray, fibrocystic breast disease, breast nodules or lumps, or bleeding from your nipples
- Had a stroke
- Family history of breast cancer
- Kidney disease
- High blood pressure
- Asthma
- Epilepsy
What actions specific to Sayana Press do you need to do to prepare the injection?
Make sure the needle has a shield and there is a gap between it and the port
What 4 things should you do to prepare for administering the injection?
- Wash your hands and the injection site, let them air dry
- Hold the device by the port and shake it for 30 seconds to mix. (The medicine should be evenly white)
- Hold the port with one hand, close the gap to activate the injector
- Push the needle shield firmly towards the port until you hear a popping noise
What 2 sites can be used for the Sayana injection?
Stomach and front of thigh
How is the injection given?
- Remove the shield from the needle
- Pinch the area you want to inject with one hand, with the other hand inject the needle until the port touches the skin
- Slowly squeeze the container for 7 seconds
- Pull the needle out and apply gentle pressure
- Apply pressure with a clean cotton pad/tissue on injection site
- Throw away used injector as instructed by health care professional
What is the active substance in Sayana Press?
MPA (medroxyprogesterone acetate)
