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Module 6 > Reproduction Contraception And Infertility > Flashcards

Reproduction Contraception And Infertility Flashcards

1
Q

FSH

A

Big thing production of eggs by the ovary’s

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2
Q

LH

A

Body prepping for home for egg

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3
Q

Estrogen

A

Thickens uterine lining

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4
Q

Progesterone

A

Prep the linging and help with implantation and inhibit the FSH and LH

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5
Q

Azospermia

A

Absent spermicide, not making any

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6
Q

Oliguspermia

A

Making sperm just not enough, decreased sperm

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7
Q

What stimulates pituitary gland to increase secretion of luteinizing hormone (LH) & follicle-stimulating hormone (FSH), can cause ovarian hyperstimulation syndrome

A

Clomiphene citrate and Letrozole

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8
Q

Clomiphene citrate and Letrozole

Risk

A

Multiple gestation

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9
Q

Clomiphene citrate and Letrozole side effects

A

Hot flashes
Blurred vision
N&v
Pelvis pain
Bloating
Headache

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10
Q

Clomiphene citrate and Letrozole side effects

Is used with what med to treat infertility with PCOS

A

Metformin

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11
Q

What is contraindicated for bleeding disorders and liver disease

A

Clomiphene citrate and Letrozole

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12
Q

Intrauterine insemination (IUI)

A

Places prepared sperm in uterus at time of ovulation

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13
Q

Invitro fertilization

A

Fertilization outside of the body

In lab

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14
Q

Gestation surrogacy

A

Couple goes through IVF and embryo placed in another woman with no genetic ties to embryo

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15
Q

Traditional surrogacy

A

Woman inseminated with semen , carries fetus to birth

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16
Q

Intracytoplasmic sperm injection

A

Sperm injected in locate in lab

Fertilization outside of the body

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17
Q

Gamer intrafallopian tube

A

O yet retrieved placed with prepared motile sperm then placed in fallopian tubes

Fertilization inside of the body

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18
Q

Zygot intrafallopian transfer

A

Fertilization outside the bod

Zygot placed in fallopian tube instead of uterus

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19
Q

What cam cross placental membrane

A

Viruses such as rubella and cyto megaloviruus

And drugs

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20
Q

What is oliohydraminos pt at risk fro

A

Cord compressor , PPROM

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21
Q

what are short cords associated with

A

Hernias, abruption placentae , cord rupture

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22
Q

What are long cord associated with

A

Twist , tangle , around fetus

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23
Q

Average length of cord

A

55 cm

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24
Q

Monozygotic

A

One zygote
Genetically identical

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25
Q

dizygotic

A

Fraternal twins

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26
Q

Monochorionic

A

One chorion placenta

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27
Q

Monoamniotic

A
  • share same amniotic sac
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28
Q

Dichorionic

A

Two chorions(placentas)

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29
Q

Diammniotic with monochorionic

A

Two amniotic space with one placenta

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30
Q

Monoamniotic with monochorionic

A

One amniotic sace with one placenta

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31
Q

What are monochorionic at risk for

A

Increase risk of twin to twin transfusion ( imbalance blood flow through the placenta)

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32
Q

What are monoamniotic at risk for

A

Increase risk of mortality due to entangling of umbilical cord

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33
Q

How long sperm survives in 👩

A

4-5 days

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34
Q

How long ovum survives

A

24-48 hours

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35
Q

Calendar method

A

Shortest cycle minus 18 days
Longest cycle minus 11 days

Avoid intercourse between those days

(Calendar 11-22)

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36
Q

Spinnbarkeit or billings sign

A

Cervical mucus becomes thin, flexible slipper and stretches between fingers at ovulation

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37
Q

When should you examine cervial mucus for consistency

A

Last day of the cycle

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38
Q

What should you do when you feel the mucous thinning

A

Avoid sex and note when the peak was then go about 4 days after peak ( peaks - egg whites , slipper)

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39
Q

What does estrogen do to cervical mucous

A

Thin mucous

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40
Q

Advantages of cervical mucous awareness

A

Breastfeeding, menopause, planning pregnancy

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41
Q

When is cervical mucous inaccurate

A

When mixed with blood semen , contraceptive foam or discharge

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42
Q

When are spermicides inserted

A

15 min prior to intercourse
And must be reapplied for multiple acts

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43
Q

What should you use with condemn to increase effectiveness

A

Spermicide

44
Q

What should use for lubrication - male condom

A

Water soluble jelly

Petroleum can cause deterioration

45
Q

Proper insertion of femal condom

A

Outer ring rest around vag opening
Inner ring fits over the cervix

46
Q

Disadvantages of female condom

A

More expensed
Noisy
Cumbersome feel
One time use

Reduce spontaneity and non compliance

47
Q

Risk of female condom

A

Allergic reaction

No use of oil based products - negate latex protection

48
Q

How long should spong remain in place

A

For 6 hours

Can be up until 48 hours after intercourse

49
Q

Insertion of sponge

A

Empty bladder
Hand hygiene
Moistened with water prior to inserting vaginally

50
Q

Can the sponge be reused

A

Yes , multiple acts in 24 hours

51
Q

Proper insertion of sponge

A

Moisten sponge with water
Insert into vag
Position over the cervix

52
Q

Risk of sponge

A

Failure rate
Irritation and allergic reaction
Vag dryness
Toxic shoc syndrom

53
Q

S/s of toxic shock syndrome

A

Fever , faint, watery diarrhea, drop in BP

54
Q

Why are the risk higher if you had a baby with the sponge

A

Cervical os is not the same

55
Q

Diaphragm instruction

A

May cause irritation of UTI
Voiding after sex helps prevent infection
Must be left in place fr 6 hours after intercourse

Not good for past history of UTI

56
Q

How long should diaphragm should be left in place after intercourse

A

6 hours

57
Q

Cervical cap

A

No pressure on bladder
Can stay in place for 48 hours
Keep in place for 6- 8 hours after intercourse

58
Q

If sex occurs again in that 6-8 hours after intercourse with the cervical cap

A

Reapply spermacide

59
Q

Why is a Pap smear recommended 3 years after using cervical cap

A

Check cervix to make sure there is no issue or damage while using

60
Q

How long does cap need to be refitted

A

Every 2 years
Or after child loss
Or 20% weight gain or loss

61
Q

Proper insertion of cap

A

Empty bladdder
Perform hand hygiene
Apply spermicide and inserting into vag covering the cervix

62
Q

What does the cap reduce incidence of

A

Cervical gonorrhea and chlamydia

63
Q

Risk of diaphragm and cap

A

Irritation , latex allergic reaction
Cap can be associated w cervical changes
Toxic shot syndrome

Not recommended for UTI history

64
Q

Mini pill

A

Progesterone only
Less effective
Thickens cervical mucus

65
Q

When does fertility return with mini pull or oral contraceptive

A

Within 3 mo

Advise once they stop pill to allow body to have 2-3 normal periods before trying for baby

66
Q

Combo pills

A

3 was active , 4 th wk placebo or no pills

67
Q

Risk for oral contraceptives combo for pp and lactation

A

Increase risk DVT and decrease milk production

68
Q

When should you not use combo contraceptive

A

Smoker and over 35

69
Q

With combo pill if you miss a pill when do you take it

A

ASAP but if you miss 2-3 use back up method

70
Q

If you miss a mini pill 3 hours late

A

Use back up method

71
Q

When should you also use back up method with mini pill

A

Diarrhea and vomiting

72
Q

Mini pill causes

A

Irregular bleeding or amenorrhea

73
Q

What does the mini pill not effect

A

Milk production

74
Q

Why should someone with anemia avoid combo or mini

A

Break through bleeding

75
Q

Med reaction with real contraceptive

A

Antibiotics decrease effectiveness
Avoid hepatotoxic med
Interfere with anticoagulant
Increase toxicity of trycilic antidepressant

76
Q

When should you use back up method for transdermal patch

A

First wk

And if you miss 2 days or more in late changing pad

77
Q

Why is the risk for VTE higher in transdermal patch

A

Increase exposure to estrogen

78
Q

When do hormones go back to normal after using transdermal patch

A

A month

79
Q

Vaginal ring storage

A

Refrigerated

80
Q

When to use back up method for vag ring

A

1st insertion unless placed the 1st 5 days of menses

And 48 hours without ring , 1st two was use back up method for 7 days

81
Q

Since break though bleeding is less common with vaginal ring

A

Could be ideal for anemia

82
Q

How often is vag ring replaced

A

Monthly

83
Q

Risk of vag ring

A

Blood cloths, hyper tension, stroke , heart attack
Vag prolapse ( pressure or feels like something is coming out, painful sex)

Breast tenderness, nausea, vaginits

84
Q

When does fertility return with ring

A

Few weeks to a month

85
Q

With the IUD diabetes, anemia , abnormal pap, history of pelvic infections is contraindicated whY?

A

Can lead to further complications

86
Q

How often should IUD be checked for placement

A

Monthly

87
Q

When does IUD fertility return

A

Immediately

88
Q

Mirena IUD

A

Last 5 years
Hormone release of progesterone ( damages sperm)

89
Q

COPPER IUD

A

Emergency contraception within 5 days of intercourse
Last up to 10 years
Chemical damage sperm

90
Q

When does fertility return with implant

A

Once removed

91
Q

What does the Depo provers cause

A

Decrease bone density
Need calcium and vit d for bone health

92
Q

How long does it take for fertility to return with Depo

A

Up to one year

93
Q

If you have had previous breast cancer or cancer what birth control is not for you

A

Depo

94
Q

Advantages of Depo

A

Long term injected every 3 mo
Does not impair milk
Decrease bleeding or absence of period

95
Q

Contraindication for Depo

A

Breast cancer
Stroke
Blood clots
Liver disease

96
Q

Plan b

A

Use within 72 hours
No prescription necessary

97
Q

Ella

A

Prescription for all ages
Within 5 days of unprotected sexual

98
Q

How long after bilateral tubal ligation salpingectomy to return to activities

A

1 wk post op NO SEXor lifting heavy objects

99
Q

If you tie you tubes

A

Possible to reverse

100
Q

If cauterized or clipped tubes

A

Not reversible more problematic

101
Q

How long to limit activity afte vasectomy

A

Couple days

( scrotum support 48 hours)

102
Q

Vasectomy post op treatment

A

Mild analgesic and place ice to area

103
Q

With male sterilation when is permanent sterilization may not occur for

A

3 mo so risk of getting pregnant

104
Q

How long can males resume intercourse with vasectomy

A

1 wk

105
Q

When should you use alternate contraception or how long should u use it

A

Until 2 negative sperm counts

Module 6 (21 decks)

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