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NUR 353 - Exam #1 Questions And 100% Correct Answers
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NUR 353 - Exam #1 Questions And 100% Correct AnswersContraception
Factors to consider when choosing a method include safety, protection against STDs,
effectiveness, acceptability, convenience, education required, advantages, side
benefits.
Adolescents knowledge regarding contraception
often includes misinformation and risk-taking behavior
When counseling adolescents about contraception what should be taken into
consideration?
Sensitivity to feelings, concerns, and needs
Respect confidentiality around sexual activity.
Understandable language should be used.
How long can a woman continue to ovulate?
Fertility declines after the age of 35-40 years and pregnancy after the age of 50 years
are uncommon. Women above 35 years of age with cardiac risk factors should avoid
combined hormonal contraceptives.
Woman's age when fertility starts to decline:
35-40 years-old (pregnancy after 50 years is uncommon) Over 35 years of age with
cardiac risk factors should avoid combined hormonal contraceptives.
Who needs to avoid combined hormonal contraceptives?
Over 35 years of age with cardiac risk factors
,What is the most common form of contraception used by women over the age of 30?
sterilization
Sterilization
Permanent contraception methods that include tubal sterilization (for women aka
ligation) and vasectomy (for men).
Hormonal Contraceptives
Methods such as hormone implants, injections, oral contraceptives, emergency
contraceptives, transdermal patches, and contraceptive vaginal rings.
Intrauterine Devices (IUD)
Contraceptive devices inserted inside the uterus for birth control.
Barrier methods
chemical (creams and gels) and mechanical barriers (male and female
condom/sponge/diaphragm cervical cap)
Barrier cervical caps
Cover cervix
Must be left in place after intercourse.
If repeat intercourse occurs within 6 hours, additional contraceptive method used.
Natural Family Planning
Methods include the calendar or rhythm method, standard days method, cervical mucus
and two-day method, symptothermal method, abstinence
Least reliable methods of contraception
,breastfeeding, and coitus interruptus
Signs of Ovulation
As it approaches, the mucus becomes more abundant, clear, slippery, and smooth
Spinnbarkeit
elasticity of cervical mucus ("egg white stretchiness"
What are the expected temperature changes during ovulation?
slight drop in basal body temperature 1-2 days before ovulation
and a temp rise 1-2 days after ovulation of 0.5-1 degree and stays up until the next
menses
What is the expected temp before ovulation?
97-97.5 degrees
What conditions should woman be cautious taking contraceptives with?
thrombophlebitis, cardiovascular disorders, estrogen-dependent cancer, liver tumors,
migraines, diabetes, impaired liver function, suspected pregnancy, undiagnosed
bleeding, smoking over 35, and major surgery.
What is the expected temp after ovulation?
97.6-98.6 degrees
, Client Teaching: Oral Contraceptives
take full pill at the same time daily
one missed pill, take now that day or two the next day
if more than one is missed, an additional birth control method is used for the remainder
of cycle
Identify the warnings that should be reported if an oral contraceptive medication is
being taken.
Severe/ persistent chest pains
Cough/ difficulty breathing
Severe abdominal pain
Dizziness/weakness
Severe leg pains
During ovulation, when does the release of the ovum happen?
about 14 days before a woman's menstrual period begins
How many days approximately do sperm live?
up to 5 days
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