MVU NURS 620 Exam 4 QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

MVU NURS 620 Exam 4 QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE What are we thinking about with contraceptive issues? - ANSWER •Almost half of pregnancies each year are unintended •About half of all unintended pregnancies end in abortion •No method is 100% effective •Religious, ethical, and cultural reasons why women may refuse contraception Initial evaluation for contraceptives - ANSWER •Medical history- any contraindications or risk factors for contraceptives? •Obstetric and GYN history •Physical exam -Pap Smear- when was their last one? -Wet mount -GC/chlamydia DNA probe test HIV & syphillis testing annually if they are sexually active. Birth control and disease prevention - ANSWER •Gynecological history and physical exam essential and should address -Risk for STIs and history of BC methods- nothing but condoms reduce risk for STI's. -Sexual dysfunction/concerns -Health promotion (weight gain is it a concern, are they already over weight) -Menstrual cycle information -Medications used (what problems has the patient had in the past with contraceptive methods) -Previous Pap smears and resolutions -Cigarette, alcohol, and drug use/abuse Methods of contraception (chance) - ANSWER •Chance -Failure rate is 85% per year Method of contraception •Coitus Interruptus - ANSWER -Withdrawal of penis before ejaculation -Failure rate is @ 27% -Not ideal, but better than no method - (failure rate similar to barrier methods) -Advantages - no artificial barriers, chemicals, or devices