MATERNITY EXAM 3 (CONTRACEPTION)
what is a partnership between you as the provider and your patient to achieve a common goal,
pregnancy prevention, planning intervals between pregnancies, and finding help if pregnancy is not
achieved? - family planning
for family planning, are a women's decisions based on values, professional role, friends, family, cultural
and religious beliefs, self-perception, health status, economics, sexual lifestyle, options available, and
partner status? - yes
do you want to put an IUD in someone who has fibroids? - no
should the gynecological history and physical exam essentials address risk for STIs and history of birth
control methods, sexual dysfunction/concerns, health promotion, menstrual cycle information,
medications used, previous pap smears and resolutions, and cigarette, alcohol, and drug use/abuse? -
yes
is having sex with multiple partners and not using condoms a high risk for STI? - yes
if previous pap smears, especially if it was abnormal do you need to ask if they had a procedure done
and need to ask do you know what contraceptive options to use? - yes
is cigarette smoking important when it comes to contraceptive use, especially if planning to give them
estorgen? - yes
what are these examples of things to consider:
body image
depression
poor nutrition
,emotional/physical problems
myths
abuse from others
smoking
obesity
family problems? - areas of concern
what are these examples of things to consider:
blood pressure
weight
height
LMP
breast cancer and BSE teaching
blood tests
pelvic exam
pap smear? - physical exam
are there legal consideration for minors? - yes
with minors if they are already a parent or pregnant, or is a decision of provider would suffer severe
health hazards then this is a situation for where you can give contraception without parents consent in
florida? - yes
do states explicitly allow minors to consent to contraceptive services? - no; exception for health,
married, parent, pregnant, or ever pregnant
,what is the pre ovulation phase in the ovarian cycle? - follicular phase
what is the post ovulation phase in the ovarian cycle? - luteal phase
what is the preovulation phase in the uterine cycle? - period and proliferative
what is the post ovulation phase in the uterine cycle? - secretory
what are the two different cycles for ovulation? - ovarian cycle and uterine cycle
what hormones peak during the follicular phase (days 0-14)? - estradiol, LH, and FSH
what hormones peak during the luteal phase? - progesterone peaks
FSH decreases
what works by putting your body in a pseudopregnancy state, the FSH is responding to increased
estrogen, LH will spike, etc body realizes we are not pregnant and then period occurs? - hormonal birth
control
what is when the FSH stimulates the growth of ovarian follicles, the dominant follicle produces estrogen,
which inhibits FSH secretion to prevent other follicles growing, and estrogen acts on the uterus to
stimulate the thickening of the endometrial layer? - follicular phase
what is when LH and FSH surge and release an egg? - ovulation
what is when the follicle develops into a corpus luteum, the corpus luteum secretes high levels of
progesterone as well as lower levels of estrogen, progesterone and estrogen act on the uterus to
thicken the endometrial lining in preparation for pregnancy, and FSH and LH is low? - luteal phase
, what type of birth control are these:
§ Combination Oral Contraceptive (COC)
§ NuvaRing
§ Patch
§ (combined is estrogen and progesterone)? - combination hormonal contraceptives
what are the different types of combination hormonal contraceptives? - § Combination Oral
Contraceptive (COC)
§ NuvaRing
§ Patch
§ (combined is estrogen and progesterone)
what type of birth control are these:
§ Progesterone Only Pill (POP)
§ Injection
§ Implantable Device
§ IUD? - progesterone only
what are the different types of progesterone only birth control? - § Progesterone Only Pill (POP)
§ Injection
§ Implantable Device
§ IUD
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