Reproduction Contraception And Infertility Flashcards
1
Q
FSH
A
Big thing production of eggs by the ovary’s
2
Q
LH
A
Body prepping for home for egg
3
Q
Estrogen
A
Thickens uterine lining
4
Q
Progesterone
A
Prep the linging and help with implantation and inhibit the FSH and LH
5
Q
Azospermia
A
Absent spermicide, not making any
6
Q
Oliguspermia
A
Making sperm just not enough, decreased sperm
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
8
Q
Clomiphene citrate and Letrozole
Risk
A
Multiple gestation
9
Q
Clomiphene citrate and Letrozole side effects
A
Hot flashes
Blurred vision
N&v
Pelvis pain
Bloating
Headache
10
Q
Clomiphene citrate and Letrozole side effects
Is used with what med to treat infertility with PCOS
A
Metformin
11
Q
What is contraindicated for bleeding disorders and liver disease
A
Clomiphene citrate and Letrozole
12
Q
Intrauterine insemination (IUI)
A
Places prepared sperm in uterus at time of ovulation
13
Q
Invitro fertilization
A
Fertilization outside of the body
In lab
14
Q
Gestation surrogacy
A
Couple goes through IVF and embryo placed in another woman with no genetic ties to embryo
15
Q
Traditional surrogacy
A
Woman inseminated with semen , carries fetus to birth
16
Q
Intracytoplasmic sperm injection
A
Sperm injected in locate in lab
Fertilization outside of the body
17
Q
Gamer intrafallopian tube
A
O yet retrieved placed with prepared motile sperm then placed in fallopian tubes
Fertilization inside of the body
18
Q
Zygot intrafallopian transfer
A
Fertilization outside the bod
Zygot placed in fallopian tube instead of uterus
19
Q
What cam cross placental membrane
A
Viruses such as rubella and cyto megaloviruus
And drugs
20
Q
What is oliohydraminos pt at risk fro
A
Cord compressor , PPROM
21
Q
what are short cords associated with
A
Hernias, abruption placentae , cord rupture
22
Q
What are long cord associated with
A
Twist , tangle , around fetus
23
Q
Average length of cord
A
55 cm
24
Q
Monozygotic
A
One zygote
Genetically identical
25
dizygotic
Fraternal twins
26
Monochorionic
One chorion placenta
27
Monoamniotic
- share same amniotic sac
28
Dichorionic
Two chorions(placentas)
29
Diammniotic with monochorionic
Two amniotic space with one placenta
30
Monoamniotic with monochorionic
One amniotic sace with one placenta
31
What are monochorionic at risk for
Increase risk of twin to twin transfusion ( imbalance blood flow through the placenta)
32
What are monoamniotic at risk for
Increase risk of mortality due to entangling of umbilical cord
33
How long sperm survives in 👩
4-5 days
34
How long ovum survives
24-48 hours
35
Calendar method
Shortest cycle minus 18 days
Longest cycle minus 11 days
Avoid intercourse between those days
(Calendar 11-22)
36
Spinnbarkeit or billings sign
Cervical mucus becomes thin, flexible slipper and stretches between fingers at ovulation
37
When should you examine cervial mucus for consistency
Last day of the cycle
38
What should you do when you feel the mucous thinning
Avoid sex and note when the peak was then go about 4 days after peak ( peaks - egg whites , slipper)
39
What does estrogen do to cervical mucous
Thin mucous
40
Advantages of cervical mucous awareness
Breastfeeding, menopause, planning pregnancy
41
When is cervical mucous inaccurate
When mixed with blood semen , contraceptive foam or discharge
42
When are spermicides inserted
15 min prior to intercourse
And must be reapplied for multiple acts
43
What should you use with condemn to increase effectiveness
Spermicide
44
What should use for lubrication - male condom
Water soluble jelly
Petroleum can cause deterioration
45
Proper insertion of femal condom
Outer ring rest around vag opening
Inner ring fits over the cervix
46
Disadvantages of female condom
More expensed
Noisy
Cumbersome feel
One time use
Reduce spontaneity and non compliance
47
Risk of female condom
Allergic reaction
No use of oil based products - negate latex protection
48
How long should spong remain in place
For 6 hours
Can be up until 48 hours after intercourse
49
Insertion of sponge
Empty bladder
Hand hygiene
Moistened with water prior to inserting vaginally
50
Can the sponge be reused
Yes , multiple acts in 24 hours
51
Proper insertion of sponge
Moisten sponge with water
Insert into vag
Position over the cervix
52
Risk of sponge
Failure rate
Irritation and allergic reaction
Vag dryness
Toxic shoc syndrom
53
S/s of toxic shock syndrome
Fever , faint, watery diarrhea, drop in BP
54
Why are the risk higher if you had a baby with the sponge
Cervical os is not the same
55
Diaphragm instruction
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
How long should diaphragm should be left in place after intercourse
6 hours
57
Cervical cap
No pressure on bladder
Can stay in place for 48 hours
Keep in place for 6- 8 hours after intercourse
58
If sex occurs again in that 6-8 hours after intercourse with the cervical cap
Reapply spermacide
59
Why is a Pap smear recommended 3 years after using cervical cap
Check cervix to make sure there is no issue or damage while using
60
How long does cap need to be refitted
Every 2 years
Or after child loss
Or 20% weight gain or loss
61
Proper insertion of cap
Empty bladdder
Perform hand hygiene
Apply spermicide and inserting into vag covering the cervix
62
What does the cap reduce incidence of
Cervical gonorrhea and chlamydia
63
Risk of diaphragm and cap
Irritation , latex allergic reaction
Cap can be associated w cervical changes
Toxic shot syndrome
Not recommended for UTI history
64
Mini pill
Progesterone only
Less effective
Thickens cervical mucus
65
When does fertility return with mini pull or oral contraceptive
Within 3 mo
Advise once they stop pill to allow body to have 2-3 normal periods before trying for baby
66
Combo pills
3 was active , 4 th wk placebo or no pills
67
Risk for oral contraceptives combo for pp and lactation
Increase risk DVT and decrease milk production
68
When should you not use combo contraceptive
Smoker and over 35
69
With combo pill if you miss a pill when do you take it
ASAP but if you miss 2-3 use back up method
70
If you miss a mini pill 3 hours late
Use back up method
71
When should you also use back up method with mini pill
Diarrhea and vomiting
72
Mini pill causes
Irregular bleeding or amenorrhea
73
What does the mini pill not effect
Milk production
74
Why should someone with anemia avoid combo or mini
Break through bleeding
75
Med reaction with real contraceptive
Antibiotics decrease effectiveness
Avoid hepatotoxic med
Interfere with anticoagulant
Increase toxicity of trycilic antidepressant
76
When should you use back up method for transdermal patch
First wk
And if you miss 2 days or more in late changing pad
77
Why is the risk for VTE higher in transdermal patch
Increase exposure to estrogen
78
When do hormones go back to normal after using transdermal patch
A month
79
Vaginal ring storage
Refrigerated
80
When to use back up method for vag ring
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
Since break though bleeding is less common with vaginal ring
Could be ideal for anemia
82
How often is vag ring replaced
Monthly
83
Risk of vag ring
Blood cloths, hyper tension, stroke , heart attack
Vag prolapse ( pressure or feels like something is coming out, painful sex)
Breast tenderness, nausea, vaginits
84
When does fertility return with ring
Few weeks to a month
85
With the IUD diabetes, anemia , abnormal pap, history of pelvic infections is contraindicated whY?
Can lead to further complications
86
How often should IUD be checked for placement
Monthly
87
When does IUD fertility return
Immediately
88
Mirena IUD
Last 5 years
Hormone release of progesterone ( damages sperm)
89
COPPER IUD
Emergency contraception within 5 days of intercourse
Last up to 10 years
Chemical damage sperm
90
When does fertility return with implant
Once removed
91
What does the Depo provers cause
Decrease bone density
Need calcium and vit d for bone health
92
How long does it take for fertility to return with Depo
Up to one year
93
If you have had previous breast cancer or cancer what birth control is not for you
Depo
94
Advantages of Depo
Long term injected every 3 mo
Does not impair milk
Decrease bleeding or absence of period
95
Contraindication for Depo
Breast cancer
Stroke
Blood clots
Liver disease
96
Plan b
Use within 72 hours
No prescription necessary
97
Ella
Prescription for all ages
Within 5 days of unprotected sexual
98
How long after bilateral tubal ligation salpingectomy to return to activities
1 wk post op NO SEXor lifting heavy objects
99
If you tie you tubes
Possible to reverse
100
If cauterized or clipped tubes
Not reversible more problematic
101
How long to limit activity afte vasectomy
Couple days
( scrotum support 48 hours)
102
Vasectomy post op treatment
Mild analgesic and place ice to area
103
With male sterilation when is permanent sterilization may not occur for
3 mo so risk of getting pregnant
104
How long can males resume intercourse with vasectomy
1 wk
105
When should you use alternate contraception or how long should u use it
Until 2 negative sperm counts
