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29 Cards in this Set
- Front
- Back
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What is important after discussing the braided consent of contraception?
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Documentation that the client understands
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This estrogen ___pharmacologicially active
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Ethinyl Estradiol
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___must be converted into EE by the liver before it is pharmacologically active
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Mestranol
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Levonorgestrel is considered what hormone classification?
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A Gonanes
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Norethindrone acetate is considered what hormone classification?
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An estrane
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Smoking can cause what type of effects?
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Antiestrogenic
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What is a common disease process that can cause Cervicitis?
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Chlamydia
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More BTB is seen what what dose of hormone therapy and what class of hormone, the Estranes or Gonanes?
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20
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Primary mechanism of action for combined oral contraceptives is the inhibition of
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ovulation
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If starting on the first day of the next menstrual period or immediately after an abortion or miscarriage is back up necessary?
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No
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With the Quickstart method, the first pill is given at that office or clinic visit if:
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it is reasonably certain she is not pregnant, or she has been using either hormonal or non-hormonal contraception correctly and consistently.
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For postpartum women, combination oral contraceptives should be started after ___
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3 weeks to allow the hypercoaguable state of pregnancy to abate.
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Women who are relying on breastfeeding exclusively, may want to use a progestin-only method for the first ___ because why?
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six months since estrogen may decrease milk production.
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The transdermal patch contains what 2 hormones?
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Ethinyl estradiol + norelgestromin
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What site should you avoid placing the transdermal patch?
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On the breast
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The copper IUD can be placed post-placentally or within the first ___
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48 hours postpartum.
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Estrogen-containing contraceptives may be prescribed for non-lactating women to start ___ weeks.
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3 weeks postpartum.
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Plan B is associated with an 89% reduction in the pregnancy rate if taken within the first 72 hours after unprotected sex, but is still effective up to ___
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120 hours
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Although Plan B consist of 2 pills being taken, can you take both pills at the same time, and does it cause more nausea?
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yes can be taken together, and it does not cause increase nausea
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A 19 year-old recently received Depo-ProveraTM and is concerned about bleeding. Should she expect a bleeding change?
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Yes, irregular bleeding is a common occurance initially starting injection.
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What is the statistical percentage of amenorrhea with the use of the Depo Provera injection? 1st year? and 5 Years?
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Amenorrhea is normal: 50% at 1 year, 80% at 5 years
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What is the disadvantage of Mirena and many other birth control methods?
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Menstrual Irregularity
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What are the similarities between the cervical cap and diaphragm?
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they both can be inserted 6 hours before sex, both need to be in place for 6 hours after
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What is a difference between the cap and diaphragm?
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The cap can stay in for 48 hours, and the diaphragm for 24hr
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Is spotting that occurs in the first 56 days postpartum considered menses.
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No
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Homogenous, white , noninflammatory discharge that coats the vaginal walls
Presence of Clue cells on microscopic exam pH of vaginal fluid>4.5 Fishy odor of vaginal discharge before or after KOH is suggestive of? |
Bacterial Vaginosis
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Metronidizole 500 mg po BID for 7 days
Metrondiazole gel 0,75%, one applicator full per vaginal, qd for 5 days Clindamycin cream 2%, one applicator per vagina hs for 7 days is the treatment for? |
BV
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Diffuse, malodorous, yellow-green discharge
Vulvar Irritation pH >4.5 Wet prep = trichomonads in saline Vaginal cultures is suggestive of? |
Trichomonas
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What is the treatment for trichomonas?
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Tx Metronidazole 2 gm po or 500 mg BID for 7 days and treat partner
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