RNSG 1538 Final Exam Spring

RNSG 1538 Final Exam Blueprint Spring 2019 (Student)sheath insertedwomanuserspolyurethanevaginally to block- eliminates post- cumbersomespermsex semen- noisy during coitusdrainage- single use onlyDiaphragm w/shallow latex cup16%- no hormone- needs HCP to fit- allergy to latex,Spermicidew/ springusedrubber,mechanism in its- consideredpolyurethane, orrim to hold it inmedically safespermicideplace- some protection- report s/s of TSSvs. cervical Ca.- may becomedislodged if femaleis in superiorpositionCervical Cap w/soft-cup shaped24%- no use of- HCP must fitsame as spongeSpermicidelatex device thathormones- odor may occur iffits over the base- continuousleft in too longof cervixprotection when inplaceSponge w/disk-shaped25%- immediate &- can fall out while- irritationSpermicidepolyurethanecontinuousvoiding- allergic reactiondevice containingprotection for 24- doesn't fit form in- abn. Pap testa spermicide thathrsvagina- risk of toxic shockis activates w/- OTCsyndrome (TSS)wetting sponge w/waterOralpill that8%- easy to use- pt must remember- dizzinessContraceptivessuppresses- high rate ofto take pill daily- nausea(Combination)ovulation by theeffectiveness- poss. undesirable- mood changescombo actions of- protects againstside effects- blood clotsestrogen &ovarian &- costly for some- ↑ B/P RNSG 1538 Final Exam Blueprint Spring 2019 (Student)progestinendometrial Ca.- needs prescription- CVA- MIOralpill with only8%- no estrogen- must be taken- irreg. bleedingContraceptivesprogestin thatrelated sidestrictly- wt gain(Progestin-only;thickens cervicaleffects- irreg. bleeding risk- increased risk ofMinipills)mucus, preventing- lactation friendly- < effective thanectopic pregnancysperm penetration-pts w/ H/Ocombo pillsthrombophlebitiscan usePatch (Ortho Evra)TD patch that8%- easy to- poss. skin irritationless effective in ptsreleases estrogenremember@ sitew/ wt > 200 lbs& progestin into- very effective- may fall offthe circulationunnoticed (losingprotection)Ring (NuvaRing)vaginal8%- easy system to- may cause vaginalsimilar to OC'scontraceptive ringrememberdischargeapprox. 2" in- very effective- can be expelleddiameterwithout noticing(losing protection)Depo-Proverainj. progestin that3%- duration of- menstrualAssess pt forinhibits ovulationaction is long (3irregularitiesDepression due tomo)- f/u visit neededthis method being- highly effectiveq12wksable to increase- estrogen- free- wt gainthat depression- smoker friendly- headaches- lactation friendly- depression- may remain infertilefor up to 12 monthsImplanttime-released0.05%- duration of- irreg. bleeding- risk of anemia if RNSG 1538 Final Exam Blueprint Spring 2019 (Student)(Nexplanon)implant (one rod)action is long- wt gainheavy bleedingof levonorgestrel- low dose of- breast tendernessoccursfor 3 yrshormones- headaches- reversible- difficult to remove- estrogen- freeIntrauterineT-shaped device1%- highly effective- insertion req. skilled- CrampsContraceptivesinserted into theimmediatelyprofessional- Bleeding(IUC's)uterus that- allows sexual- irreg. menses- Pelvicreleases eitherspontaneity- prolongedInflammatory Dzcopper,- lactation friendlyamenorrhea- Infertilityprogesterone, or- return to fertility- expulsion- Uterinelevonorgestrelnot impairedunknowinglyperforation- no motivation- ↑'d risk for pelvicreq. from pt s/pinfectioninsertion- pt must checkstrings regularly forplacement- zero STI protection-delay of fertilityafter D/C'ing x6-12monthsPostcoital- combo of80%Offers last chanceRisk of ectopicN/VEmergencylevonorgestrel-onlto preventpregnancy if EC failsAbd. painContraceptivesy pillspregnancyFatigue(EC's)- combinedHeadacheestrogen &progestin pills orCopper IUSinserted within 72hrs afterunprotected coitus