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24 Cards in this Set
- Front
- Back
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Who is a good candidate for Natural Family Planning?
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1. Perimenopausal women b/c they may not be able to use hormonal methods such as bcp b/c of hx of HBP, thromboembolic disease, or cigarette smoking
2. Postpartal women: they can breastfeed (lacation Amenorrhea method) |
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involves detecting when a woman is fertile so she can use periods of abstinence during that time.
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Fertility Awareness (Natural)
*Temp: at time of ovulation rises a full degree *Mucous Secretion: ovulation day: mucus becomes copious, thin, watery & transparent, feels slippery & stretches at least 1" *breast: tender |
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Who is a good candidate for Natural Family Planning?
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1. Perimenopausal women b/c they may not be able to use hormonal methods such as bcp b/c of hx of HBP, thromboembolic disease, or cigarette smoking
2. Postpartal women: they can breastfeed (lacation Amenorrhea method) |
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Student
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학생 學生
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CHEMCIAL/HORMONE METHOD
Action of BCP aka OC's or COC's (combination of oral contraceptives |
composed of synthetic estrogen combined w/ synthetic progesterone (progestin).
estrogen acts to suppress FSH & LH, suppressing ovulation. -progesterone action complements that of estrogen by causing a decrease in the permeability of cervical mucus, thereby limiting sperm motility and access to ova. -Progesterone interferes with tubal transport and endometrial proliferation to such degrees that the possibility of implantation is significantly decreased. |
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What contraceptives are good for women w/ liver disease?
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-COC's -vaginal ring
b/c hormones released are absorbed directly by the mucous membrane of the vagina, thereby avoiding a “first pass” through the liver, |
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What are the Advantages of DEPOPROVERA?
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- used during breastfeeding.
-reduction in ectopic pregnancy, endometrial cancer, endometriosis, and, -reduction in the frequency of sickle cell crises -doesn't interfere w/ sex |
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Natural contraceptives are contraindicated in who?
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Adolescent b/c anovulatory menstrual cycles for several years after menarhe
-require them to say "no" on fertile days (difficult to do when under pressure) |
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What are the Contraindications to oral CONTRACEPTIVE oral?
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-breastfeeding
- > 35 y/o -CV disease risk factors: older age, Smoking, Diabetes, Hypertension -DVT -Heart disease -stroke -migraines -liver (tumors or cirrhosis) |
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Barrier Method:
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blocks the action b/w the cerix andadvancin spersm so the sperm cannot enter the uterus of Fallopian tubes
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Ie. of barrier methods
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condoms (mechanical
diaphragm (mechanical) sponge (mechanical) cerivcal cap (Mechanical) -Spermicide (chemical) |
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What are the Disadvantages of Barrier methods?
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-sexual enjoyment maybe lessened
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Where does Estrogen and Progesterone come from?
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anterior piturary gland
-estrogen & progesterone stops ovulation |
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What is th mechanism of action for the Hormone method (oral, transdermal, vaginally, by inplantation or injection)
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thickens mucus and urteral wall
-kills sperm |
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Surgical Methods:
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-vasectomy: vas deferen cut & tied
-tubal ligation: fallopian tubes are occluded preventing passage of sperm and ova |
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IUDs are contraindicated for what type for client?
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-multiple sex partners (STDs)
-Never been pregnant (Adolescent) -uterus distorted in shape -anemia -Heart disease -severe dysmenorrhea -hx of ectopic |
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IUDs are best for what clients?
Paragard ( effective be used up to 10 years, hormone free) -Mirena: prevents sperm from reachin egg & thickens cervical mucus, ues progesterone. (effective up to 5 years) |
-perimenopausal
-postpartal (ok to use) |
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Depo Provera:
(hormonal method) |
-need increase Ca+
-contains only progesterone -safe to use while BREASTfeeding(b/c it only contains progesterone) -stops ovaries from releasing eggs & thickens cervix |
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Depo Provera is not routinely prescribed to _________.
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adolescents to protect their bone mineral density
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What is the mechanism for Implantation devices?
(Implanion) |
Can be safely used in Adolescents
-can be used during Breastfeeding -slowly release the hormone (Progestin), suppressing ovulation, stimulating thick cervical mucus -stops ovaries from releasing te egg |
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Barrier Methods are contraindicated in what type client?
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-Adolescent
-perimenopausal women |
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stops ovaries from releasing egg and keeps sperm from reaching egg
-has highest doses of estrogen & proges |
Morning after pill (give 1st pill w/in 72 hous)
estrogen & progesterone prevents th release fo FSH |
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Women who are taking COC's should notify their MD if what complications occur?
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myocardial or thromboembolic:
-chest pain -SOB -Severe HA, Leg pain -Eye problems Blurred vision |
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What method is this?
-Adolescent should have their menstrual cycles for at least 2 years before beginning ______. |
COC's (combination oral contraceptives)
-b/c estrogen has the side effect of causing the epiphyses of long bones to halt growth |
