Exam (elaborations)
2. Contraception – Questions & Correct Answers
- Course
- ATI MATERNAL NEWBORN
- Institution
- ATI MATERNAL NEWBORN
2. Contraception – Questions & Correct Answers
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2. Contraception – Questions & Correct Answers5 methods of contraception Correct Ans - -fertility awareness-
based
-barrier (ex: condom, diaphragm)
-hormonal (ex: oral contraceptive, patch, injection)
-intrauterine (ex: IUD)
-surgical (ex: vasectomy)
fertility awareness-based methods (FAB) Correct Ans - -requires a
woman to monitor her fertile window and use a barrier method during that
time
-a woman is most fertile 5 days before ovulation to 1 day post-ovulation
natural family planning Correct Ans - when a woman abstains from
coitus until after her fertile window has closed (vs using barrier methods)
calendar rhythm method Correct Ans - -based on the assumption
that ovulation occurs about 14 days before the start of the next menstrual
period
calendar method: calculating Correct Ans - -record menstrual cycle
for 6 months
-start of fertile period = subtract 18 days from # of days in shortest cycle
-end of fertile period = subtract 11 days from # of days in longest cycle
ex:
shortest: 26-18 = 8th day
longest: 30-11 = 19th day
= fertile period is days 8-19
diaphragm Correct Ans - -dome-shaped cup that fits over cervix
with spermicide placed into dome and around rim
-available in different sizes - pt must be properly fitted with a diaphragm
by doctor
-does not protect against STIs
diaphragm use: insertion (3) Correct Ans - -can be inserted up to 6
hrs before intercourse
, -spermicide must be reapplied each time before intercourse
-empty bladder prior to insertion
diaphragm use: removal (3) Correct Ans - -must stay in place 6 hr
after intercourse
-keep in no longer than 24 hrs
-diaphragm should be washed with soap and water after each use
diaphragm risk factors (3) Correct Ans - -TSS
-UTIs (may interfere with bladder emptying)
-allergic reaction
advantages of condoms (3) Correct Ans - -protect against STIs
-no adverse effects (except latex allergy)
-readily accessible
male condom use: pt teaching (3) Correct Ans - -only water-soluble
lubricants should be used with latex condoms (avoid breakage)
-following ejaculation, withdraw penis from vagina while still erect and
hold condom rim to prevent semen spillage
-condoms deteriorate in hot conditions - don't keep in wallet or car
vasectomy: pt teaching (3) Correct Ans - -scrotal support and
moderate activity immediately post-op
-takes 4-6 weeks or approx. 20 ejaculations to clear remaining sperm from
vas deferens - use alternate form of birth control
-man is rechecked at 6 and 12 months to ensure fertility hasn't been
restored by recanalization
emergency oral contraceptive Correct Ans - -morning-after pill that
prevents fertilization from taking place
-does not terminate an established pregnancy
when to take morning-after pill Correct Ans - -1st dose within 72
hrs of intercourse
-2nd dose 12 hrs later
IUD complications: PAINS Correct Ans - P: period late, abnormal
spotting/bleeding
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