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21 Cards in this Set

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Methods that depend on identifying the beginning and end of the fertile period of the menstrual cycle; they provide contraception by relying on avoidance of intercourse during fertile periods
natural family planning (NFP)
Method based on the # of days in each cycle, counting from the 1st day of menses. The fertile period is determined after accurately recording the lengths of menstrual cycles for at least 6 months.
calendar rhythm method
Method that requires the woman to recognize and interpret cyclic changes in the amt and consistency of cervical mucus that characterize her own unique pattern of changes
ovulation method
Term used to refer to the decrease and subsequent increase in temperature associated with ovulation
thermal shift
Method that combines the basal body temperature (BBT) and cervical mucus methods with awareness of secondary cycle phase-related symptoms
symptothermal
Methods based on detecting the sudden surge of LH that occurs approximately 12-24 hrs before ovulation
biological marker kit
shallow, dome-shaped latex or silicone device with a flexible rim that covers the cervix resulting in a mechanical barrier to sperm
diaphragm
soft rubber or latex-free silicone dome with a firm but pliable brim that fits snugly around the base of the cervix close to the junction of the cervix and vaginal fornices
cervical cap
Form of oral contraceptive pill that provides a fixed dosage of estrogen and progesterone
monophasic
Form of oral contraceptive pill that has varying amounts of progestin and sometimes the amount of estrogen within each cycle
multiphasic
Flexible device worm in the vagina to deliver continuous levels of etonorgestrel and ethinyl estradiol; the device is worn for 3 wks, flowed by a wk w/o the device
vaginal contraceptive ring
progestin only contraceptive pill
mini pill
temporary method of birth control based on the surge of prolactin that occurs with breastfeeding
Lactation amenorrheal method (LAM)
A 36-yr old woman chose depot medroxyprogesterone acetate (Depo-Provera) as her method of contraception. Which statement shows lack of understanding/need for further instruction:
A. I will need an injection q 4 wks
b. I am going to diet & exercise because weight gain is common
c. If i continue Depo-Provera i will need bone density assessed.
d. this method will result in a smaller
A. I will need to receive another injection every 4 weeks.

The injection is repeated every 11-13 weeks.
Which indicates correct use of a diaphragm. Select all that apply

A. refit after healing is complete following vaginal birth
b. apply spermicide only to the rim of the diaphragm just before insertion.
c. empty bladder B4 inserting and after intercourse
d. apply spermicide after each act of intercourse
e. remove w/in 1 hr of intercourse
f. always use during menstrual periods
A, C, and D

spread spermicide on both surfaces, don't remove for 6 hrs, don't use during menses
Signs of ovulation (select all the apply)

a. increase in LH in urine 12-24 hrs B4 ovulation
b. spinnbarkeit
c. drop in BBT during luteal phase of cycle
d. softened moist cervix which opens and rises in the vagina
e. decreased libido
A, B and D

BBT rises during luteal phase and libido increases
Needs further instruction on IUD (select all that apply)

a. this IUD remains effective for 10 yrs
b. it's norm to have bleeding and cramping in the 1st yr after insertion
c. IUD works by releasing progesterone
d. I should avoid Motrin for cramping
e. I must use condoms to prevent infections to my uterus.
C and D

There is no hormone in an IUD- copper serves as spermicide and it inflames the endometrium preventing fertilization and NSAIDs are recommended to decrease cramping
When using a vaginal foam, Alice applies it just inside her vagina.

Correct or incorrect?
incorrect
Alice avoids using spermicide with nonoxynol-9 as a lubricant if she and her husband plan to have anal intercourse.


Correct or incorrect?
correct
Alice reapplies the spermicide before each act of intercourse.


Correct or incorrect?
correct
Using the acronym ACHES, identify S/S that would require someone to stop taking the pill and notify their health care provider
A-abdominal pain
C-Chest pain or SOB
H-Headache
E-eye problems
S-severe leg pain