Sexuality- Fam planning and preconception counseling

Question 1

What does preconception counseling include?

Answer 1

Health problems, physical exam, nutrition, exercise, family planning, changing health behaviors

Question 2

How long is the lifespan of sperm?

Answer 2

2-7 days

Question 3

How long is the lifespan of ovum?

Answer 3

1-3days

Question 4

When is maximum fertility?

Answer 4

5days before ovulation

Question 5

What method of fertility awareness is based on assumption that ovulation occurs 14days before their next period?

Answer 5

Calendar rhythm

Question 6

What method of fertility awareness is based on assumption that ovulation will occur after a slight decrease in temp; female takes temp before ANY morning activity (ex. brushing teeth) and records the reading?

Answer 6

Basal Body Temp (BBT)

Question 7

What method of fertility awareness is based on assumption that after ovulation mucus is very thin allowing sperm for motility, female assesses menstral mucus after ovulation?

Answer 7

Billings Method (Cervical Mucus)

Question 8

What method of contraception is abstinence, coitus interruptus (pullout method) or douching after intercourse?

Answer 8

Situational contraceptive

Question 9

What method of contraception is nonxynol-9 and can come in a cream, gel, jelly, foam, vaginal film or suppository?

Answer 9

Spermicides

Question 10

What does spermicide films and foams do to sperm and when should they be inserted?

Answer 10

Destroys sperm by disrupting cell membrane, and before sex

Question 11

When is spermicide suppository inserted?

Answer 11

30 min before sex

Question 12

What method of contraception is male and female condoms, diaphragm and cervical cap?

Answer 12

Barrier methods

Question 13

What method of contraception is IUD’s?

Answer 13

Intrauterine Devices

Question 14

What method of contraception is combined estrogen-progesterone, combined oral: pill, deep-provera, nuvaring, and skin patches?

Answer 14

Hormonal contraceptives

Question 15

What method of contraception is vasectomy and tubal ligation?

Answer 15

Operative Sterilization

Question 16

Hormonal contraceptives inhibit release of ovum by making what?

Answer 16

Thick cervical mucous

Question 17

What is the permanent cessation of menses?

Answer 17

Menopause

Question 18

Perimenopausal period lasts for several years and begins w/ what?

Answer 18

Decline in production of estrogen bc of loss of ovarian function

Question 19

What occurs 1yr after final menstrual period?

Answer 19

Postmenopause

Question 20

What are some objective s/s of menopause?

Answer 20

saggy breasts, loss of body hair, decrease in skin elasticity and subQ fat

Question 21

What are some subjective s/s of menopause?

Answer 21

Vaginal dryness, dyspareunia, urine incontinence, hot flashes, diaphoresis, fractures, and hypnosis

Question 22

What is the treatment for menopause?

Answer 22

Hormonal replacement therapy

Question 23

What can hormonal replacement therapy cause?

Answer 23

Increase risk for cancer

Question 24

What marks the natural biological process end of reproduction and viability?

Answer 24

Menopause

Question 25

What are menstruation discomforts that have more serious physiological and psychological effects than normal?

Answer 25

Menstrual dysfunction

Question 26

What is a complex manifestation of mood swings, fatigue, irritability, depression, food cravings, breast tenderness, dysmenorrhea, and dysfunctional uterine bleeding (DUB)?

Answer 26

Premenstrual syndrome (PMS)

Question 27

What is pain/discomfort associated w/ menstruation?

Answer 27

Dysmenorrhea

Question 28

What is vaginal bleeding that’s painless but is an increase in amount, duration and time of occurrence?

Answer 28

Dysfunctional Uterine Bleeding (DUB)

Question 29

What changes accompany PMS?

Answer 29

Hormonal changes: altered estrogen/progesterone levels, increased prolactin levels and rising aldosterone levels

Question 30

What phase of the menstrual cycle occurs 7-10days prior to onset of period?

Answer 30

Luteal phase

Question 31

What type of BUD is an absence of menstruation that primarily occurs in 14-16y/o, and 2nd sex characteristics fail to develop?

Answer 31

Amenorrhea

Question 32

What is resulted from structural abnormalities, hormonal imbalances, and polycystic ovary disease?

Answer 32

Amenorrhea

Question 33

What type of BUD is excessive/prolonged menstruation resulting from thyroid disorders, endometriosis, PID, ovarian cysts, uterine fibroids or clotting disorders?

Answer 33

Menorrhagia

Question 34

What type of BUD is bleeding b/t period “spotting” that results from hormonal imbalance, PID, cervical/uterine polyps/fibroids, cervical/uterine cancers?

Answer 34

Metrorrhagia

Question 35

What pelvic exams help diagnose menstrual dysfunction?

Answer 35

Pap smear, cervical/vaginal cultures

Question 36

What diagnostic procedures help diagnose menstrual dysfunction?

Answer 36

Pelvis/vaginal U/S, CT or MRI or laparoscopy

Question 37

What lab tests help diagnose menstrual dysfunction?

Answer 37

FSH and LH levels, CBC, Progesterone and estradiol levels (to assess ovarian function), and thyroid function

Question 38

What pharmacological therapies are used for menstrual dysfunctions?

Answer 38

Gonadotropin Releasing Hormone (GnRH), oral contraceptives, NSAIDs, diuretics

Question 39

What med is used for menstrual dysfunctions, but can’t be used if pregnant?

Answer 39

Danazol

Question 40

What SSRI’s are used for menstrual dysfunctions and are safe for breastfeeding?

Answer 40

Prozac, Zoloft, and Paxil

Question 41

What surgery is performed for menstruation dysfunctions that scrapes the uterine wall?

Answer 41

Therapeutic D/C

Question 42

What surgery is performed for menstruation dysfunctions that is used if therapeutic D/C fails and permanently destroys layers of endometrium by a laser?

Answer 42

Endometrial Ablation

Question 43

What other surgery is performed for menstruation dysfunctions?

Answer 43

Hysterectomy