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50 Cards in this Set
- Front
- Back
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Are most pregnancy's intended or unintended?
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Intended 51%
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What are the most effective contraceptive options?
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The male/female sterilizaation, IUD, IUS, Implants -note most invasive
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Male and female condoms, sponge, and diaphragm are considered most, very or moderately effective?
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Moderately (3)
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What is the difference between the scalpel technique and the no scalpel technique in male sterilization?
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Scalpel: cut and ligate cauterize vas deferense. The no scalpel they puncture the scrotum to deliver vas deferens & ligate/cauterize
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What must you teach your patients after under going male sterilization?
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Need to go through multiple sperm count, 10 ejaculations, so they need a back up BC method.
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What is the % of women under 30 who regret sterilization?
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20%
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Traditional tubal occlusion consist of ligating, blocking w/clips or rings. What is the newer tubal occlusion consist of?
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Micro inserts called Essure, placed into proximal fallopian tubes.
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Mirena is an intrauterine system (IUS) that contains the hormone ____ ___mcg/day.
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Levonorgesterel 20mcg/day. Only progesterone!
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How long is Mirena approved for?
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5 years
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What is important to teach your patients about Mirena?
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It has progesterone and it will stop ovulation, decreases endometrial lining, controls bleeding.
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What must you do first before prescribing and administering Mirena (IUS) or any other IUS/IUD?
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Screen for pregnancy!
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What must you be concerned about with any IUS/IUD?
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Infection-possibly STD's if pt has more than 1 partner.
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How is infection caused by an IUS/IUD harmful for a pt?
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It can scar the fallopian tubes and uterus.
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What term is used when measuring the uterus?
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"sounding"
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When an IUS/IUD is used, what must you make certain of about the apparatus? lol
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The strings are the appropriate length.
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The copper IUD is approved for how long?
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10 years
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Can the copper IUD be used as emergency contraceptive?
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yes
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During what time frame can you insert the IUD?
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During your menstrual cycle.
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Implanon, the implant, contains what hormone?
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Etonogestrel-only progesterone
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Implanon is effective for how long?
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3 years
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If a patient has multiple partners, which BC device is a good option?
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Implanon (not touching it like the IUD)
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BCP differ from the IUD and IUS because they contain what type of hormones?
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Both estrogen and progesterone
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Most newer formulations of BCP contain ___ -___ mcg of ethinyl estradiol +1 of 8 available progestins.
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20-35mcg
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Why do combined BCP put you more at risk for a DVT than the IUD/IUS devices?
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Becaue bcp contain estrogen, and estrogen can cause clotting
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The mini pill differs from combined oral contraceptives in that the mini pill contains only?
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Progesterone
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Norethindrone and norgesterel are two ___ hormones found in the __ pill.
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Progesterone hormones, found in the minipill
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Whom would you not want to give estrogen to?
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Patients with a hx of CV disease, breast ca, liver disorders, undiagnosed vaginal bleeding, DVT hx,
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Would it be ok to give a DM or a pt with HTN estrogen?
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Yes, just not someone with vascular disease
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Pts that have a contraindication to estrogen and progesterone in combo can be given what instead?
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Progesterone
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Depo provera is an IM or SQ IJ that is good for how long?
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3 months
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What is an advantage to depo-provera?
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Pt's can breast feed after 6 weeks
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Name some disadvantages to the shot.
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1. longest time to resume ovulation, 2. weight gain! 3. 1st 6 moths spotting may occur. 4. DECREASE BONE DENSITY!
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The transdermal patch, Ortho Evra contains what hormones and good for how long?
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progesterone and estrogen, good once a week for 3 weeks, and then peel off and have a period.
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When do you insert the Nuva ring? Considered ___ effective.
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On the 5th day of cycle. Very effective
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Condoms are considered ___ effective
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Moderately
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What is "Reality"?
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The female condom
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How long do you leave the sponge in for?
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6 hours
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How long can sperm live in the vagina? How long in the uterus?
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4 hours
72 hours |
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The diaphragm must be used with what?
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A spermicide
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What needs to happen for the diaphragm to feel comfortable?
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It needs to be fitted.
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The FemCap is considered to be an ___ method of BC method.
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Effective
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The FemCap is most effective in whom?
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Nulliparous
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How long can you leave the fem cap in for?
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24 hours
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What is the advantage to the extended hormonal contraception?
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It delays or eliminates menstruation
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What is the quick start method?
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Starting the contraceptive in the presence of clinician on the day of visit regardless of time in cycle.
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During the quick start visit, what must you teach your pt about?
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Use a back up
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What is emergency contraception?
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I prevents PREGNANCY AFTER SEX
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Is emergency contraception the same as the abortion pill?
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NO!!!!
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What emergency contraceptive is available over the counter and for those over 18?
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Plan B
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How long after sex is the emergency contraception ok to take?
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120hours
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