Term
| Diaphragm: minimum hours between sex and removal |
|
Definition
|
|
Term
| Diaphragm: Maximum hours between insertion and removal |
|
Definition
|
|
Term
| When should a diaphragm be refitted? |
|
Definition
| After 10 lbs of weight gain and after pregnancy |
|
|
Term
| Cervical cap: minimum hours between sex and removal |
|
Definition
|
|
Term
| Cervical cap: maximum hours between insertion and removal |
|
Definition
|
|
Term
|
Definition
small --> nulliparous women
medium --> women who have miscarried
had a C/S
large --> women who have delivered
vaginally |
|
|
Term
|
Definition
vaginal irritation
allergic reaction |
|
|
Term
|
Definition
| blocks sperm from entering cervix and kills sperm if spermicide is used |
|
|
Term
| Best population for barrier methods |
|
Definition
| best for patients w/low risk for unintended pregnancies |
|
|
Term
| Ortho Evra (Patch) hormones involved |
|
Definition
| Ethinyl estradiol (estrogen) and norelgestromin (progestin) |
|
|
Term
|
Definition
prevents ovulation by suppressing LH and FSH
Also, thickens cervical mucous and changes endometrium to prevent implantation |
|
|
Term
| Places Patch can be placed |
|
Definition
| butt, upper torso, upper arm, lower abdomen |
|
|
Term
| Therapeutic levels are maintained for how many days after application of second patch |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What population is at an increased risk for pregnancy w/use of the patch for contraception? |
|
Definition
| patients weighing more than 198 lbs |
|
|
Term
|
Definition
15 mcg ethinyl estradiol (estrogen)
120 mcg ectonogesterel (progestin)
Hormones reach target concentrations in 24 hours |
|
|
Term
|
Definition
Suppresses ovulation
Thickens cervical mucous
Thins endometrial lining |
|
|
Term
| What to do if the NuvaRing is out of vagina for > 3 hours in any 24 hour period of time? |
|
Definition
| re-insert the ring and use back up method for 7 days |
|
|
Term
| How long does hormone levels remain therapeutic after insertion of NuvaRing? |
|
Definition
|
|
Term
| Good population for NuvaRing |
|
Definition
|
|
Term
| Measurement w/sound necessary for good candidate for IUD |
|
Definition
|
|
Term
|
Definition
| levonorgestrel 20 mcg/day |
|
|
Term
|
Definition
prevents fertilization
thickens cervical mucous plug
suppresses endometrium
causes local foreign body reaction
potentially suppresses ovulation |
|
|
Term
|
Definition
|
|
Term
|
Definition
Prevents fertilization
Causes increase in copper ions -->
stimulates inflammatory reaction -->
toxic to sperm/ovum and prevents implantation |
|
|
Term
| If you have a 40 year old w/irregular bleeding |
|
Definition
| do an endometrial biopsy to r/o CA |
|
|
Term
| When should patient come in for placement of an IUD |
|
Definition
| at the start of the menstrual cycle |
|
|
Term
| Follow up how many days after insertion of IUD |
|
Definition
|
|
Term
|
Definition
| smokers, college students/teenagers |
|
|
Term
| Patient w/heavy bleeding would not want a |
|
Definition
| ParaGard so recommend Mirena |
|
|
Term
|
Definition
cutting or mechanically blocking fallopian tubes
IVF or potential surgical reversal is a possibilty |
|
|
Term
|
Definition
blocks fallopian tubes at horn of uterus by causing scar tissue formation w/ microcoils that are inserted bilaterally
ineffective until 3 months after procedure to allow for scar tissue formation |
|
|
Term
|
Definition
uses radiofrequency energy followed by insertion of a silicone matrix
ineffective until 3 months after insertion to allow scar tissue formation |
|
|
Term
| What confirms placement of sterilization procedure |
|
Definition
|
|
Term
|
Definition
| surgical blockage of the vas deferens to prevent sperm ejaculation |
|
|
Term
| When is vasectomy effective? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Depo administration schedule |
|
Definition
|
|
Term
|
Definition
inhibits ovulation by suppressing LSH and FH
thickens and decreases cervical mucous
alters endometrium |
|
|
Term
| most common reason for d/c depo |
|
Definition
|
|
Term
|
Definition
| lower bone density but found to be reversible w/in 12 months |
|
|
Term
| how long until fertility returns after going off depo? |
|
Definition
|
|
Term
|
Definition
conservative jewish women
teenagers and young adults |
|
|
Term
| what if patient comes in outside of 13 week window for next shot of depo? |
|
Definition
| get urine pregnancy test and if negative give the shot |
|
|
Term
| Natural Family Planning = |
|
Definition
| Abstinence during fertile period |
|
|
Term
| Natural Family Planning = |
|
Definition
| Abstinence during fertile period |
|
|
Term
| Fertility Based Awareness utilizes what during fertile window |
|
Definition
|
|
Term
|
Definition
| contraception and conceiving |
|
|
Term
| Fertile window is how many days |
|
Definition
| 6 (5 days before ovulation + day of ovulation) |
|
|
Term
| Most cycles are between how many days |
|
Definition
| 26-32 days w/fertile window being days 8-19 |
|
|
Term
|
Definition
| +/- secretions, change in secretion consistency, change in BBT |
|
|
Term
| Highly fertile secretions = |
|
Definition
| abundant, clear, stretchy, wet, slippery |
|
|
Term
| If trying to conceive w/NFP or FAB have intercourse... |
|
Definition
| every other day during fertile window |
|
|
Term
| Standard Days Method # fertile days |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Standard Days Method: instructions |
|
Definition
| Use protection on days 8-19 of cycle (w/day one being start of menses) |
|
|
Term
| Calendar Method Instructions |
|
Definition
-Record menstrual cycle for 6-12 months
-Take shortest cycle and subtract 18 days
-Take longest cycle and subtract 11 days |
|
|
Term
| Basal Body Temperature: Cons |
|
Definition
| Affected by fever, restless sleep, schedule changes |
|
|
Term
|
Definition
-Daily AM temperature (w/at least 3 hours of sleep)
-Increase in temp = ovulation
-No intercourse from end of menstruation until 3 days after temperature increase |
|
|
Term
| Two day method total fertile days |
|
Definition
|
|
Term
| Two day method instructions |
|
Definition
-Presence or absence of any cervical secretions TODAY or YESTERDAY = fertile
-Check in morning and afternoon
-Can be used w/irregular cycles |
|
|
Term
| Billings Ovulation Method Total Fertile Days |
|
Definition
|
|
Term
| Billings Ovulation Method Instructions |
|
Definition
-Do not douche
-Start mucus checks day after menses ceases, before and after urination
-No intercourse from first sign of mucus until 4 days after "peak day"
-can be used for irregular cycles |
|
|
Term
| Symptothermal # Fertile Days |
|
Definition
|
|
Term
| Symptothermal Instructions |
|
Definition
-cervical secretions = beginning of fertile period
-BBT = end of fertile window
-Daily AM temp (at least 3 hours sleep)
-Daily assessment of cervical mucus
-Daily assessment of cramps, spotting, changes in position of cervix
-No intercourse from first sign of fertility until 3 days after temp increase OR 4 days after peak mucus day
-can be used w/irregular cycles |
|
|
Term
| Lactational Amenorrhea Effectiveness |
|
Definition
|
|
Term
|
Definition
| increased prolactin levels inhibit ovulation |
|
|
Term
|
Definition
HIV + women
Women taking meds that are bad for baby |
|
|
Term
|
Definition
Exclusive BF (no hand or pump)
Intervals cannot exceed 4 hours during the day and 6 hours at night |
|
|
Term
| Effectiveness of Male Condom |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Effectiveness of Female Condom |
|
Definition
|
|
Term
| Female Condom Instructions |
|
Definition
| Do not use w/male condoms |
|
|
Term
| Effectiveness Cervical Cap/Diaphragm |
|
Definition
|
|
Term
|
Definition
<6 wks PP
Cervical CA
Hx of recurrent UTI or TSS
Menstruation
Abnormal uterine anatomy
Uterine polyps |
|
|
Term
| Instruction for cap/diaphragm |
|
Definition
Fitted by practitioner
Insert w/spermicide
Stays in place 6 hr post intercourse
>10lb weight gain = re-fit |
|
|
Term
| Best population for cap/diaphragm |
|
Definition
|
|
Term
| Effectiveness of the sponge |
|
Definition
80% parous
91% nulliparous |
|
|
Term
|
Definition
<6 wks PP
Hx of recurrent UTI
HIV +
Menstruation |
|
|
Term
| Instructions for sponge use |
|
Definition
Leave in 6 hours post intercourse
Do not leave in >24 hours |
|
|
Term
|
Definition
|
|
Term
| Effectiveness of Spermicides |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
HIV
Cervical CA
Hx of recurrent UTI |
|
|
Term
| Instructions for spermicide |
|
Definition
-Place in no less than 15 minutes and no more than 1 hour before intercourse
-leave in place 6 hrs post intercourse |
|
|
Term
|
Definition
|
|
Term
|
Definition
Ensure she's not pregnant
Assess for fainting
NSAIDs, misoprostol 400 mcg, anesthetic |
|
|
Term
| IUD Expulsion Risk Factors |
|
Definition
Nulliparity
Abnormal amt of menstrual flow
Severe Dysmenorrhea |
|
|
Term
|
Definition
|
|
Term
| True of False: IUD increases risk of PID |
|
Definition
|
|
Term
|
Definition
| Copper ions, enzymes, prostaglandins, and WBCs released into uterine and tubal fluids inhibits sperm fxn and motility |
|
|
Term
|
Definition
Decrease Ectopic risk
Decrease Uterine/Cervical CA risk
Reversible |
|
|
Term
|
Definition
Heavier menses
Expulsion
Perforation |
|
|
Term
|
Definition
Increased menstrual flow
Intermenstrual flow
Cramping
Backache
Increase vaginal d/c |
|
|
Term
|
Definition
< menarche
Pregnancy
Uterine/Cervical CA
Uterine abnormality
PID or high risk for PID |
|
|
Term
|
Definition
|
|
Term
| Cramping w/IUD insertion treat w/ |
|
Definition
|
|
Term
| Best Populations for ParaGard |
|
Definition
|
|
Term
|
Definition
| lovenorgestrel 20 mcg/day |
|
|
Term
| Best Population for Mirena |
|
Definition
|
|
Term
| What is more common after surgical reversal of sterilization procedure? |
|
Definition
|
|
Term
|
Definition
| cutting or mechanically blocking fallopian tubes to prevent sperm and egg uniting |
|
|
Term
| Female Sterilization Instructions |
|
Definition
Backup contraception for 3 months
No lifting, intercourse x 1 week
Analgesic q 4-6 h prn
F/U 1 week |
|
|
Term
|
Definition
| Blocking each vas deferens to inhibit sperm passage |
|
|
Term
|
Definition
~48 hour recovery period
Use backup for 12 weeks |
|
|
Term
|
Definition
150 mg/1mL IM SQ q 12-13 weeks
104 mg/0.65 mL SQ q 12-13 weeks |
|
|
Term
|
Definition
-Inhibits ovulation by suppressing FSH and LH production
-Inhibition of GnRH pulsatility
-Alters endometrium |
|
|
Term
|
Definition
Risk of bone loss
Weight gain
6-12 months for return to ovulation |
|
|
Term
|
Definition
-Minimize for 2 years
-Injection q 12-13 weeks |
|
|
Term
|
Definition
women who can't use estrogen
Teenagers |
|
|
Term
|
Definition
60-70 mcg/day weeks 1-6
35-40 mcg/day by end of first year
25-30 mcg/day by end of third year |
|
|
Term
|
Definition
Suppresses ovulation
Increases viscosity of mucus
Alters endometrium |
|
|
Term
|
Definition
HA
Weight gain
Emotional lability
Loss of libido
Dryness
Abd pain |
|
|
Term
|
Definition
Breast CA
BF <6 wks PP
Active viral hepatitis, cirrhosis
Unexplained vag bleeding
Current DVT |
|
|
Term
| Best Population for Implanon |
|
Definition
| Women who can't use estrogen |
|
|
Term
| Heavier women may have higher failure rates so... |
|
Definition
| decrease or eliminate placebo time instead of increasing dose |
|
|
Term
|
Definition
BP at initiation & 3 months
ACHES
D/C 1 month prior to major surgery
D/C 1 month prior to stopping Anticoag |
|
|
Term
|
Definition
Total: 6 mg norelgestromin/0.75 mg EE
Daily: 150 ug/20 ug |
|
|
Term
| Effectiveness of Ortho-Evra |
|
Definition
|
|
Term
|
Definition
-Suppresses gonadotroponin which suppresses ovualtion
-thickens cervical mucus
-alters endometrium |
|
|
Term
|
Definition
| 120 ug/ etonogestrel / 15 ug EE |
|
|
Term
| Effectiveness of NuvaRing |
|
Definition
|
|
Term
|
Definition
Suppresses Ovulation
Thickens cervical mucus
Thins endometrial lining |
|
|
Term
|
Definition
|
|
Term
| Progestin only pill hormone |
|
Definition
|
|
Term
| Effectiveness of Mini pill |
|
Definition
92%
Take w/in 3 hours of time every day |
|
|
Term
|
Definition
Inhibits ovulation
Thickens cervical mucus
Decreases fallopian cilia activity
Alters endometrium |
|
|
Term
| If bleeding on any method use |
|
Definition
|
|
Term
| Coitus Interruptus Effectiveness |
|
Definition
|
|
