reproductive life planning contraceptives - Sheet1

Question 1

What is the most important factor to consider when helping a patient choose a contraceptive method?

Answer 1

Personal choice/values.

Question 2

What are additional factors to consider when selecting a contraceptive method?

Answer 2

Ability to use the method correctly, sexual enjoyment, financial factors, prior experiences, future plans, and menstrual cycle expectations.

Question 3

What information should be obtained before starting a new contraceptive method?

Answer 3

Vital signs, pregnancy test, Pap smear, STI screening, obstetric/STI history, subjective information about desires and feelings, sexual practices.

Question 4

What are some examples of barrier contraception methods?

Answer 4

Condoms, spermicide, female condoms, the diaphragm, the vaginal sponge.

Question 5

What are some examples of hormonal contraception methods?

Answer 5

The pill, progesterone-only mini pill, morning-after pill (MAP), contraceptive patch, injection, and implant.

Question 6

What is an example of intrauterine contraceptives?

Answer 6

Intrauterine device (IUD).

Question 7

What are examples of permanent contraception?

Answer 7

Vasectomy and tubal ligation.

Question 8

What are common side effects of combined oral contraceptives?

Answer 8

Nausea, headaches, breast tenderness, weight gain or loss.

Question 9

What are common side effects of the contraceptive patch?

Answer 9

Skin irritation, breast discomfort, nausea, and headaches.

Question 10

What are common side effects of the contraceptive ring?

Answer 10

Vaginal irritation, nausea, headaches, and breast tenderness.

Question 11

What are common side effects of intrauterine devices (IUDs)?

Answer 11

Cramping and pain during insertion, irregular bleeding, and expulsion of the IUD.

Question 12

What are contraindications for estrogen-based oral contraceptives related to pregnancy and postpartum?

Answer 12

Pregnancy and postpartum <6 weeks while breastfeeding.

Question 13

Why is age >35 years and heavy smoking a contraindication for estrogen-based OCs?

Answer 13

Increased risk of cardiovascular complications.

Question 14

What blood pressure levels contraindicate estrogen-based OCs?

Answer 14

Systolic >160 mmHg or diastolic >99 mmHg.

Question 15

What complications with diabetes contraindicate estrogen-based OCs?

Answer 15

Neuropathy, retinopathy, nephropathy, or vascular disease.

Question 16

What vascular conditions contraindicate estrogen-based OCs?

Answer 16

History of DVT, pulmonary embolism, ischemic heart disease, stroke, or complicated valvular disease.

Question 17

Why is severe cirrhosis or active viral hepatitis a contraindication for estrogen-based OCs?

Answer 17

Liver function is compromised, increasing the risk of adverse effects.

Question 18

What are warning signs of myocardial or thromboembolic complications when taking combined oral contraceptives?

Answer 18

“ACHES” mnemonic: Abdominal pain (severe), Chest pain (severe), Headache (severe), Eye problems, Severe leg pain.

Question 19

What does “A” in the ACHES mnemonic stand for?

Answer 19

Abdominal pain (severe).

Question 20

What does “C” in the ACHES mnemonic stand for?

Answer 20

Chest pain (severe) with cough and shortness of breath (SOB).

Question 21

What does “H” in the ACHES mnemonic stand for?

Answer 21

Headache (severe) with dizziness, shortness of breath, and aura.

Question 22

What does “E” in the ACHES mnemonic stand for?

Answer 22

Eye problems (vision loss, blurring, or flashes of light).

Question 23

What does “S” in the ACHES mnemonic stand for?

Answer 23

Severe leg pain (calf or thigh) indicating a possible deep vein thrombosis (DVT).