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43 Cards in this Set
- Front
- Back
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ovulation kits test for...
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LH, which Is a hormone that release the oocyte
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pregnancy test kits test for...
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hCG human chorionic gonadotropin in the urine
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what supplement should be taken before pregnancy
how long before preg should it be started |
folic acid
should start 1 month prior to becoming pregnant |
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progesterone only pills (POPs) are preferred in...
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lactating women....estrogen decreases breastmilk production
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how do combination oral contraceptives (COCs) work?
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by decreasing follicle stimulating hormone (FSH) and LH, preventing ovulation
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estrogen AE
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breast tenderness/fullness
weight gain or high BP NAUSEA- counsel to take at bedtime or night to decrease nausea |
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progesterone drosperinone are present in, what meds?
its linked to... |
YAZ, ortho evra patches, Yasmin
higher risk of blood clots and are best avoided in high risk patients |
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progesterone AE
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breast tenderness, HA, fatigue, or change in mood
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reasons to choose POPs over COCs
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breast feeding, risk of DVT-clots, spotting later in cycle >14 days
migraine |
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preferred IU that reduces blood loss
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Mirena
most COCs do this |
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what are the brand names with
desogestrel and ethinyl estradiol |
Apri
Kariva these are both monophasic |
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how much estrogen is in the low estrogen COC
examples of low dose estrogens |
20 mcg compared to 35mcg
Kariva, LoSeasonique |
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Extended cycle COCs examples
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seasonale-3months
seasonique-3months, shorter placebo period-use also for PMDD |
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Yaz formulation with folic acid called
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Beyaz and Safyari
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Lybrel is used for how long
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12 months
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POPs names
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usually have NOR in it
Nora-Be, Micronor |
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POP counseling points
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use condom for 1st 48H, doesn't work till then
take same time everyday, if >3H has lapsed from time to take, use condom x 48H if a dose is missed-pt may be preg |
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COCs counseling points
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start on Sunday following menses-if started within 5 days of period immediate protection
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missed COC
first 1-2 pills of a new pack do what? |
take 1 as soon as u remember, and the next scheduled dose (may take 2 in 1 day)
need backup for 7 days |
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missed COC
1-2 pills during days 3-21 do what |
take 1 as u remember, and the next scheduled dose
no need for backup |
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missed 3 or more pills in first 2 weeks
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take a pill as soon as u remember, take next scheduled dose....2 in 1 day ok
need 7 day backup |
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3 or more pills missed during the 3rd week
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do not finish the pack, you are a moron
start new pack and need backup |
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miss 1-7 remainder pills in 4th week
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throw away missed pills and take next pill at usual time
backup not needed-cause these are usually placebo |
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difference between seasonale and seasonique
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both are 3month long and have 91 day pills with 84 active
seasonale-has 7 placebos vs seasonique has 7 low dose estrogen |
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Yaz, yasmin, ocella are popular because they...
whats the active ingredient that does this? |
decrease bloating and PMS crap, weight gain
drospirenone-a K sparing diuretic |
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if given a case on the exam with yasmin being used...what lab should be checked
and avoid in what diseases |
liver, kidney, or adrenal gland
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Ortho Evra patches are applied how
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1 patch to stomach, but or upper arms q week x 3 weeks out of a month
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how long can a patch be off for before needing backup protection x 1 week
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>24 Hours
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patches are similar to the pill version except... (absorption)
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their absorption is greater (60% more) which could be more DVT risk
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patches are less effective in what population
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fatties, >198 pounds
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nuvaring is inserted how often
how long do u leave it in for |
once a month
lasts for 3 weeks, then remove x 1 week |
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Nuvaring
if ring is out >3H 1st week |
rinse and shove back in-need backup
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Nuvaring
if out <3H for 2nd-3rd week |
shove back in and **** away-no backup needed
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Nuvaring
if out>3H for 2nd-3rd week |
reinsert and use backup x 7 D
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FDA requires what be dispensed with OCs
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PPI-package insert
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what is nonoxynol-9
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a spermicide, increases birth control effectiveness in condoms
don't use in anal sex |
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the EC that's good for 3 days is...
for 5 days (120H)... |
levonorgesterel
Ella |
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how effective is Plan B
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89 % IF within 72 H
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what to do, if a patient vomits planB pills 2 or more hours after taking
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take it again, y not can't hurt right...
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levonorgesterol EC is otc for how old?
Rx for how old? think this has changed recently FYI |
OTC 17 OR >
RX <17 can be sold to male >!7 also |
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MOA for levonorgesterol
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primarily works by preventing or delaying ovulation
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what is ulipristal
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EC effective up to 5 day (Ella)
cousin of misoprostil -prevents implantation in the utereus |
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what Is clomiphene or clomid
SE |
a PO SERM, increases FSH, LH to increase ovulation
SE- hot flashes, N, blurred vision, thrombosis risk |
