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63 Cards in this Set
- Front
- Back
age of childbearing years
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15-44
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how many pregancies a yr and how many are unintended
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6,3 mill
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name contraceptive products
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male condoms
female condoms vaginal spermicides contraceptive sponge plan b |
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types of male condoms and what each are made out of
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latex
synthetic- polyurathane natural- lambskin |
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advantages of latex condoms
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1) protect vs stds
2) resistant to breaking vs polyurathane |
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cons of latex condoms
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1) x latex allergies
2) x oil based lubricants 3) degrade in heat and light |
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pros of polyurethane condoms
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1) ok w/ latext allergies
2) thinner material, inc sensation 3) inc sensation of body heat during intercourse 4) greater resistance to heat 5) can use lube |
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cons of polyurethane condoms
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high rate of breakage and slippage
2) expensive |
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pros of natural mem condoms
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1) ok w/ latex allergies
2) inc body heat 3) very strong |
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cons of natural mem condoms
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1) x sti
2) expensive |
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which is the most expensive latex, poly or lambskin
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lambskin
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do all condoms protect vs pregnancy? stds
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yes,
latex and poly-protect vs sti lambskin does not |
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which types of lubricants can u use with latex condoms
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waterbased, cannot use oil based lub w/ latex
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risk factors for condom break
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1) incorrect placement
2) use of oil based lubes 3) reuse condoms 4) inc durations, intensity, freq of sex 5) prior history of condom break |
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how much space should u leave b/t the end of hte condom and the tip of the penis
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1/2 inch
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pros of male condoms
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1) access
2) cost 3) protects sti 4) min se |
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cons of male condoms
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1) spontaneous
2) problems w/ ed 3) latex allergy |
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female condom
-prevents what -made of what material - size - lube? |
- sti and pregnancy
-polyurethane -one size fits all - pre lubed already |
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how many hrs before can u insert female condom?
how much of the condom can u leave out? |
8 hrs
should leave at least 1 in |
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pros and cons of female condom
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pros:
1) made of polyur 2) breakage is rare 3) pre lub 4) flexible time of insertion 5) ok w/ latex allergy cons 1) difficult to insert 2) increase noise 3) uncomfortable 4) dec availability 5) expensive 6) less effective 7) labeled for single use |
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which are more effective male or female condoms
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male
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moa of vaginal sperimicides?
active ingredient? |
kills and immobilizes sperm
nonoxynol-9 |
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which is the least effective method of contraception and why
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vaginal spermicides
b/c 1) products strength 2) proper application in vagina |
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if u use a vaginal spermicide w/ condoms its efficacy relates to ?
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oral contraceptives and iuds
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vag spermicides can be used w
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condoms
diaphragms, cervical caps |
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vag spermicides adr
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- irritates and damages vaginal and cerival epi
-inc risk of bac and viral stis -allergic rxn -unpleasant taste |
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do vag spermicides protect vs sti
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no,
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spermicidal forms, how fast do they work and their duration of axn
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immediately, 1 hr
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spermicidal foams pros and cons
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- distributed more evenly and adheres better to vag wall and cervical area compared to gels
-con: less lubricating than gels |
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spermicial forms and spermicidal gels patient counseling pts
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- must apply full dose near cervix
- must reapply for each coital act - delay cleansing/douching for at least 6 hrs after intercourse |
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spermicidal gels/ jellies onset of action and duration of action
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immediate, 1 hr
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spermicidal foams and spermicidal gels have sim onset of action and duration of axn?
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yes
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pros and cons of spermicidal gels/jellies
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pro- very lubricating
con- some can only use with barrier devices |
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spermicidal suppositories: onset of axn, duration of axn
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onset of axn: 10-15 mins
duration of axn: 1 hr |
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sperm suppos pros and cons
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pros: does not to refrigerate
cons: does not completely dissolve , gritty sensation |
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spermicidal films: onset of action, duration of axn,
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15 mins
doa: 3 hrs |
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can u have sex right away after inserting the spermicidal film?
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no, have to wait till it dissolved b4 having intercoarse
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spermicidal jellies, suppositories, films, foams
which has the longest duration of axn fastest on set of axn longest onset of axn |
films = 3 hrs
onset of axn; foams, gels/jellies, supp: 10-15 mins films; 15 mins |
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vag spermicides can come in?
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foams
gels/jellies suppositories films |
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do vag spermicides protect vs sti?
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no
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structure of contraceptive sponge
made of |
-polyurethane
-permeasted w/ spermicide |
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moa of contraceptive sponges
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- mechanical
-spermicidal -absorbs semen |
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contraceptive sponge adr
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-vag dryness, irritation
-inc risk of sti -inc risk of toxic shock syndrome |
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contraceptive sponge patient counseling pts: (7)
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1) insert 24 hrs b4
2) provides protection for up 2 24 hrs 3) leave in for 6 hrs after sex 4) remove sponge prior to cleansing/ douching 5) dnt use during menses, 6 weeks postpartum 6) do not exceed recommended retention time 7) make sure entire sponge is removed |
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unlike vag spermicides, contraceptive sponges are better bc?
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may use for repeated acts of intercourse w/ in 24 hrs period of insertion
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contraceptive sponge pros and cons:
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pros:
-available w/out rx, -immediate onset, -long duration of axn- 24 hrs -can be used for multiple sex acts -disadvantages -no protection from sti -cost |
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contraceptive efficacy is dependent on
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-moa
-patient compliance -proper use and application |
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ec is indicated for?
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-unprotected sex
-contraceptive failure -future use |
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ec options
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-yukuke method-combo of oral contraceptives
- plan b |
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plan b only contains and is considered what kind of med
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- progestin only
- dual status |
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plan b package contains
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2 tabs
0.75 mg of levonorgestrol |
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moa of plan b
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- prevents preg
-delays/inhibit ovulation -alters cervical mucus |
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plan b is contraindicated in
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- already pregnant
-allergy to levonorgestrel - undiagnosed vag bleeding |
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how long can u take plan b after having sex?
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120 hrs - 5 days
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standard regimen for plan b?
dosing options? |
1 tablet w/in 72 hrs of unprotected sex, and another tablet 12 hrs later
dosing options - can take 2 tabs at the same time |
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plan b efficacy
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1) rates decline w/ time
2) closer a women is to ovulaton 3) not effective vs subsequent acts of intercourse during treatment period |
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plan b adr
Fran Bought H and M Vintage Dresses |
Fatigue
B reat tenderness Headache Abdominal pain M enstural irregularities Vomitting D Diarrhea |
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drugs to give to deal w/ nausea associated w/ plan b
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-meclizine
-diphenydramine -dimenhydrinate - cyclizine |
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1) if you vomit after plan b, should u still take it1
2) plan protects vs stis? |
1) yes
2) no |
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when should u get ur period after taking plan b
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usually occurs w/ in 1 week of expectied time
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if ur already taking bc and then take plan b should u continue taking bc
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take after completing plan b dose
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plan b dual status means
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non rx and rx
rx only for those less than 18 nonrx for over 18 yrs old |
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is consultation required for plan b
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no
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