Reproductive health assessment

Question 1

How does health litteracy (SDoH) affect sexuality and reproductive health?

Answer 1

May not know where to go for contraceptives, etc.

Question 2

How do social, cultural and family factors affect sexual health?

Answer 2

May be taboo to talk about these things contributing to lack of information

Question 3

What is the policy for PAP smears in Canada?

Answer 3

every 3 years starting at 21 if sexually active

Question 4

What is an issue with overtreating HPV?

Answer 4

Can lead to interventions with unwanted sequelae when the body could clear out the issue normally.

Question 5

Describe abortion laws in Canada.

Answer 5

Legalized.

Oral abortion pill is now free

Question 6

What are some vaccination histories pertinent to female sexual health?

Answer 6

Hepatitis B and HPV vaccines

Question 7

What is the acronym for obstetrical history? What does it mean?

Answer 7

TPAL
Term pregnancies
Pre-term pregnancies
Abortions
Living children

Question 8

What is the purpose of asking about medication profiles?

Answer 8

interactions for contraceptives, teratogens

Question 9

How does St. John’s Wort affect the birth control pill?

Answer 9

Reduces effectiveness

Question 10

What are important things to consider to sensitively gather a sexual health history?

Answer 10

Be comfortable, to reduce patient discomfort
Know why you are asking the questions.
be non-judgemental
etc.

Question 11

Should you promise you will never breach confidentiality?

Answer 11

No, because in some instances you may have to.

Question 12

What are the 5 Ps of sexual risk assessment?

Answer 12

Partners
Practices
Past history of STDs
Protection from STDs
Pregnancy plans

Question 13

Is the menstrual cycle always on a montly basis?

Answer 13

No, some people have longer menstrual cycles

Question 14

What is an important supplement for women thinking about pregnancy?

Answer 14

Folic acid

Question 15

What should yo do if you don’t know someones sexual orientation or gender identity?

Answer 15

Ask them and use the words they use to describe themselves

Question 16

When assessing a patient, they have the right to what?

Do you also have that right?

Answer 16

Chaperone

yes

Question 17

Why is the word relax perhaps not appropriate during a sexual health assessment, especially after sexual assault cases?

Answer 17

Predator may have used those same words

Question 18

Since the term abuse can be misunderstood, what is best to ask?

Answer 18

Ask about specific behaviours (pt. may not identify behaviour as abuse)

Question 19

What are some health promotion areas for sexual health?

Answer 19

Safer sex guidelines
Immunizations (ex: HPV)
Breast self examination
Testicular self examination
PAP smears
PSA testing

Question 20

Is the general population screened for breasts or testicular issues? (PSA too)

Answer 20

The guideline is to not bring it up unless the patient does (or if there is a potential risk)