Term
|
Definition
| beginning of Menstruation |
|
|
Term
| What are the drugs used during menarche? |
|
Definition
-Pain Control
-Birth Control |
|
|
Term
|
Definition
| from intercourse to fertilization |
|
|
Term
| How long does it take for the egg to become fertilized? |
|
Definition
|
|
Term
| What drugs are used during menopause? |
|
Definition
| Hormone therapy for symptoms (hotflashes etc.) |
|
|
Term
| What hormone is responsible for maturation of the ovarian follicle? |
|
Definition
|
|
Term
| What hormone is responsible for luteinization (formation of corpus luteum) of the ruptured follicle? |
|
Definition
|
|
Term
| What hormone increases while the follicle is being prepared and made? For what reason? |
|
Definition
| Estrogen because it is needed for follicle development and maturation |
|
|
Term
| What hormone increases during luteinization? For what reason? |
|
Definition
| Progesterone increases swelling |
|
|
Term
| What causes ovulation to happen? |
|
Definition
|
|
Term
| What does a rise in estrogen cause? |
|
Definition
|
|
Term
| What are the phases of the 28 day cycle/ |
|
Definition
0-2 = Menstrual
3-13 = Proliferation
14 = Ovulation
15-28 = Secretory Phase |
|
|
Term
| Where do follicle stimulating and lutenizing hormones come from? |
|
Definition
|
|
Term
|
Definition
| Any method that prevents conception |
|
|
Term
| What are behavioral methods to contraception? |
|
Definition
| Abstinence, fertility awareness, withdrawal, lactational amenorrhea |
|
|
Term
| What are barrier methods to contraception? |
|
Definition
| Condom, diaphragm, cervical caps, sponge |
|
|
Term
| What are hormonal methods to contraception? |
|
Definition
| oral, injectable, transdermal, vaginal ring, implantable, intrauterine |
|
|
Term
| What are permanent methods to contraception? |
|
Definition
| tubal ligation or vasectomy |
|
|
Term
| What are hormonal methods to contraception? |
|
Definition
Vaginal Ring
Oral Contraception (Ortho-Novum)
Emergency oral contraceptive (morning after pill)
Transdermal contraceptive patch
Injectable progestins (Depo-Provera)
Implantable progestin levonorgestrel (Norplant)
Intrauterine device (IUD) |
|
|
Term
| What are surgical methods to contraception? |
|
Definition
Female sterilization (bilateral tubal ligation)
Male sterilization (vasectomy) |
|
|
Term
| A couple reports their condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy? |
|
Definition
| obtain emergency contraceptives and take them immediately |
|
|
Term
|
Definition
| (combined hormone contraception) |
|
|
Term
| What is combined in the CHC? |
|
Definition
| usually an estrogen and a progestin (progesterone-like) |
|
|
Term
|
Definition
The estrogen inhibits ovulation by preventing the formation of the dominant follicle
The Progestin suppresses the LH surge and ovulation is inhibited |
|
|
Term
| What does ACHES stand for? |
|
Definition
Abdominal pain,
Chest pain,
Headaches,
Eye problems,
Sweling and/or aching in the legs and thighs |
|
|
Term
| What are the reasons for contraceptive failure? |
|
Definition
Not following instructions for the contraceptive
Inconsistence
Condom breakage
Use of antibiotics or herbal
Belief that at certain times (i.e. during menstration) you CAN NOT get pregnant |
|
|
Term
| What nursing assessments are r/t contraceptives? |
|
Definition
Introducing the subject
Determining the woman’s understanding
Assessing satisfaction
Assessing appropriate choices
Determine need for informed consent |
|
|
Term
| What nursing interventions are r/t contraceptives? |
|
Definition
Increasing understanding of chosen method
Teaching about other methods
Protecting from sexually transmitted diseases
Including woman’s partner
Ongoing teaching |
|
|
Term
| A 15 year old girl would like to take birth control pills. She is in the 9th grade and knows nothing about the pill. A friend told her she can get cancer from taking it. |
|
Definition
Liberal use of AV aids to explore other methods
How much is she having sex?
Encourage delayed sexual activity or abstenince
Discuss effects of pregnancy
Choose oral contraceptives because they are not messy, safe
Concern: taking pills everyday, does not protect from STD’s, using back up methods: condoms
ASSESS for contraindications (below)
What might be an alternate option for this client? Depo-Provera and condoms |
|
|
Term
| Who are contraceptives contraindicated in? |
|
Definition
Thrombophelbitis, CVA, estrogen cancers, HTN, migraines…VASCULAR issues
SUSPECTED PREGNANCY, smoker, major surgery and prolonged bedrest |
|
|
Term
| A pregnant 35 year old woman with six children asks about a tubal ligation after her baby is born. She states her husband feels strongly that she should have this procedure. She admits that she is not sure if she wants to be sterile. |
|
Definition
What other options are available for her? IUD, OC, Vasectomy….why NOT rhythm?
Must have informed consent |
|
|
Term
|
Definition
|
|
Term
| What is the average age of menopause? |
|
Definition
|
|
Term
|
Definition
| 2-9 years prior to menopause cessation of menses |
|
|
Term
|
Definition
| Estrogen decreases by 90% |
|
|
Term
| How does low estrogen effect the brain? |
|
Definition
| hot flashes, disturbed sleep, mood and memory problems |
|
|
Term
| How does low estrogen effect the heart? |
|
Definition
| lower levels of HDL and increased risk of CVD |
|
|
Term
| How does low estrogen effect the skeletal system? |
|
Definition
|
|
Term
| How does low estrogen effect the boobs? |
|
Definition
| replacement of glandular tissue with fat |
|
|
Term
| How does low estrogen effect the urinary/genitals? |
|
Definition
| Vaginal dryness, incontinence, cystitis |
|
|
Term
| How does low estrogen effect the GI tract? |
|
Definition
| less absorption of calcium thus fractures |
|
|
Term
| How does low estrogen effect the skin? |
|
Definition
|
|
Term
| How does low estrogen effect the shape of the body? |
|
Definition
| more abdominal fat; waist and hips equal |
|
|
Term
| What ways can a menopausal woman manage her symptoms? |
|
Definition
-Androgen/Estrogen
-Progestin
-Clonidine
-Neurotin
-Acupuncture
-Propanolol
-Ambien
-Gabapentin
-Venlafiaxine
-Paroxetine
-Vitamin E
-HT (Premarin)
-Calcitonin etc. |
|
|
Term
| What is Estrogen replacement therapy? |
|
Definition
| Introduction of Estrogen back into the women's body to handle the side effects of menopause. |
|
|
Term
| Who is EPT contraindicated in? |
|
Definition
Pregnancy
Endometrial cancer
breast cancer
thromboembolitic disoders
acute liver disease
chronic liver impairment
gallbladder or pancreatic disease
CAD
endometriosis |
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