NU-333 Exam 1
Contraception - ANS-intentional prevention of pregnancy during sexual intercourse
works by manipulating hormones of the menstrual cycle so that ovulation never occurs
interferes w/ implantation
Birth Control - ANS-device or practice that decreases the risk of conceiving
Family planning - ANS-conscious decision on when to conceive throughout the
reproductive years
Contraception - ANS-B- benefits
R - risk
A - alternatives
I - inquiries (?? time)
D - decisions
E - explanations
D - documentation
Coitus interruptus - ANS-pull out method
Lactational Amenorrhea - ANS-breast feeding can postpone ovulation and menstruation
Fertility Awareness Based methods (FABs) - ANS-- aka natural family planning
- only contraceptive method accepted in cc
- avoidance of intercourse during fertile periods
- combine menstrual cycle charting w/ abstinence or other contraceptive methods
Spermicides - ANS-- reduces sperm motility
- failure rate in first year is 29%
- phexxi alters ph of vagina
Condoms - ANS-male and female vaginal sheath
Diaphragm - ANS-barrier contraceptive that prevents the sperm from reaching and
fertilizing the egg
,4 traditional types
Cervical Caps - ANS-a small cup made of latex or silicone that is designed to fit snugly
over the entire cervix; should always be used with spermicide
Contraceptive sponge - ANS-a contraceptive device made of polyurethane sponge that
contains enough spermicide to be effective for 24 hours after being inserted into the
vagina
leave in 6 hrs after intercourse
TSS - ANS-risks present with diaphragms, cervical caps, and sponges
CPNTRAINIDICTIONS TO COMBINED ORAL CONTRACEPTIVES - ANS-smokers
older than 35
diabetes w/ vascular disease longer than 20yr diagnosis
hypertension
migraines
surgery on legs or prolonged immobilization
lactation less than 6wks pp
breast cancer/ estrogen dependent tumors
jaundice w/ prior pill use
gallbladder dz
cad, cva, or thromboembolic dx
Combined Oral Contraceptives - ANS-oral contraceptive
patch
nuva ring
HAS PROGESTIN AND ESTROGEN
, ACHES w/ hormonal contraception - ANS-A - abdominal pain
C - chest pain or sob
H - headaches
E - eye problems
S - severe leg pain
Progestin - ANS-POP
Depot Medroxyprogesterone
Implantable Progestins
IUD - Mirena & Skyla
IUD non hormonal:
Paragard Copper IUD - ANS-spermicide and inflames, endometrium, preventing
fertilization
lasts 10 yrs
se crampy heavy menses
emergency contraception - ANS-plan b (levonorgestrel LNG) - pregnancy can be
prevented up to 120 hrs most effective if taken immediately
ulipristal acetate (UPA ELLA) - taken within 5 days of unprotected intercourse, and
inhibits follicle rupture, effective near ovulation
prescription only
paragard IUD - if inserted within 5 days
permanent contraception - ANS-female - transcervical sterilization or tubal
reconstruction
male - vasectomy, tubal reconstruction (reanastomose)
check sperm afterwards
GTPAL - ANS-gravida - how many pregnancies
term - after 20 wks
preterm - before 20 wks
abortion - miscarriage or termination
living - living children
Contraception - ANS-intentional prevention of pregnancy during sexual intercourse
works by manipulating hormones of the menstrual cycle so that ovulation never occurs
interferes w/ implantation
Birth Control - ANS-device or practice that decreases the risk of conceiving
Family planning - ANS-conscious decision on when to conceive throughout the
reproductive years
Contraception - ANS-B- benefits
R - risk
A - alternatives
I - inquiries (?? time)
D - decisions
E - explanations
D - documentation
Coitus interruptus - ANS-pull out method
Lactational Amenorrhea - ANS-breast feeding can postpone ovulation and menstruation
Fertility Awareness Based methods (FABs) - ANS-- aka natural family planning
- only contraceptive method accepted in cc
- avoidance of intercourse during fertile periods
- combine menstrual cycle charting w/ abstinence or other contraceptive methods
Spermicides - ANS-- reduces sperm motility
- failure rate in first year is 29%
- phexxi alters ph of vagina
Condoms - ANS-male and female vaginal sheath
Diaphragm - ANS-barrier contraceptive that prevents the sperm from reaching and
fertilizing the egg
,4 traditional types
Cervical Caps - ANS-a small cup made of latex or silicone that is designed to fit snugly
over the entire cervix; should always be used with spermicide
Contraceptive sponge - ANS-a contraceptive device made of polyurethane sponge that
contains enough spermicide to be effective for 24 hours after being inserted into the
vagina
leave in 6 hrs after intercourse
TSS - ANS-risks present with diaphragms, cervical caps, and sponges
CPNTRAINIDICTIONS TO COMBINED ORAL CONTRACEPTIVES - ANS-smokers
older than 35
diabetes w/ vascular disease longer than 20yr diagnosis
hypertension
migraines
surgery on legs or prolonged immobilization
lactation less than 6wks pp
breast cancer/ estrogen dependent tumors
jaundice w/ prior pill use
gallbladder dz
cad, cva, or thromboembolic dx
Combined Oral Contraceptives - ANS-oral contraceptive
patch
nuva ring
HAS PROGESTIN AND ESTROGEN
, ACHES w/ hormonal contraception - ANS-A - abdominal pain
C - chest pain or sob
H - headaches
E - eye problems
S - severe leg pain
Progestin - ANS-POP
Depot Medroxyprogesterone
Implantable Progestins
IUD - Mirena & Skyla
IUD non hormonal:
Paragard Copper IUD - ANS-spermicide and inflames, endometrium, preventing
fertilization
lasts 10 yrs
se crampy heavy menses
emergency contraception - ANS-plan b (levonorgestrel LNG) - pregnancy can be
prevented up to 120 hrs most effective if taken immediately
ulipristal acetate (UPA ELLA) - taken within 5 days of unprotected intercourse, and
inhibits follicle rupture, effective near ovulation
prescription only
paragard IUD - if inserted within 5 days
permanent contraception - ANS-female - transcervical sterilization or tubal
reconstruction
male - vasectomy, tubal reconstruction (reanastomose)
check sperm afterwards
GTPAL - ANS-gravida - how many pregnancies
term - after 20 wks
preterm - before 20 wks
abortion - miscarriage or termination
living - living children
