NURS475 OB Exam 3: STIs & Contraceptions
1. What are the only ways to prevent STIs: Abstinence, male & female
condoms
2. Abstinence: Risk of STI transmission (oral sex)
HPV & HSV via skin-to-skin contact
3. Withdrawal (Pull out method): Failure rate: 1 in 5
First drops contain the greatest concentration of sperm, can escape
urethra b4 orgasm
4. Lactational Amenorrhea Method (LAM): Breastfeeding (BF) inhibits the
release of gonadotropin, HOWEVER YOU NEED TO FOLLOW ALL OF
THESE:
• No period since birth
• Infant younger than 6 months
• Exclusive breastfeeding
• BF at least 6 times daily on both breasts
• No substituting other foods (i.e., formula, rice cereal)
• Nighttime feedings at least q 6 hours
5. What reduces the effectiveness in the LAM: Pumping
6. Fertility Awareness: a method of contraception based on ovulation
prediction and the viability of sperm; intercourse is timed to avoid
fertile days, or a barrier method is used during those days
7. Cervical Mucous Ovulation Method (Fertility Awareness): Increases
Estro- gen, leads to spinnbarkeit mucous (increased fertility)
8. Spinnbarkeit mucous: Looks like eggs whites
More abundant, clear, slippery, and
smooth Can be stretched without
breaking
1/
, NURS475 OB Exam 3: STIs & Contraceptions
9. Basal Body Temp.: rises within 1-2 days after ovulation due to rise in
proges- terone
Temp will remain high during fertilization/preg
2/
, NURS475 OB Exam 3: STIs & Contraceptions
Temp will drop if no fertilization
10.Symptothermal Method: a combination of fertility awareness methods
s/s: breast tenderness, pelvic fullness/tenderness, midcycle lower abd
pain at ovu- lation
11.Standard Day method?: *Must have 26-32 day cycle
Avoid intercourse on days 8-19 days of cycle (white beads=fertile)
12.Two-day method: Avoid intercourse if you had any secretions "today"
or "yes- terday"
13.Barriers: Mechanical: obstructs sperm
Chemical: Spermicide
14.Male condoms: Nonlatex have higher risk of pregnancy & STIs
15.Female condoms: Outer & inner ring inserted in vag, held in place
by public bone
16.Diaphragm w/ spermicide: Needs to fitted (esp. after pregnancy, abd
+ pelv. surgery, weight loss/gain of 10 lbs)
Inserted 4 hours before intercourse
Leave in place for at least 6 hours after intercourse
*NEED TO BE COMFORTABLE W/ UR BODY
17.Cervical Cap: Fitted (Refit after weight changes, abortion, preg)
Insert 36 hours b4 sex, leave in place for at least 6 hours after sex
3/
1. What are the only ways to prevent STIs: Abstinence, male & female
condoms
2. Abstinence: Risk of STI transmission (oral sex)
HPV & HSV via skin-to-skin contact
3. Withdrawal (Pull out method): Failure rate: 1 in 5
First drops contain the greatest concentration of sperm, can escape
urethra b4 orgasm
4. Lactational Amenorrhea Method (LAM): Breastfeeding (BF) inhibits the
release of gonadotropin, HOWEVER YOU NEED TO FOLLOW ALL OF
THESE:
• No period since birth
• Infant younger than 6 months
• Exclusive breastfeeding
• BF at least 6 times daily on both breasts
• No substituting other foods (i.e., formula, rice cereal)
• Nighttime feedings at least q 6 hours
5. What reduces the effectiveness in the LAM: Pumping
6. Fertility Awareness: a method of contraception based on ovulation
prediction and the viability of sperm; intercourse is timed to avoid
fertile days, or a barrier method is used during those days
7. Cervical Mucous Ovulation Method (Fertility Awareness): Increases
Estro- gen, leads to spinnbarkeit mucous (increased fertility)
8. Spinnbarkeit mucous: Looks like eggs whites
More abundant, clear, slippery, and
smooth Can be stretched without
breaking
1/
, NURS475 OB Exam 3: STIs & Contraceptions
9. Basal Body Temp.: rises within 1-2 days after ovulation due to rise in
proges- terone
Temp will remain high during fertilization/preg
2/
, NURS475 OB Exam 3: STIs & Contraceptions
Temp will drop if no fertilization
10.Symptothermal Method: a combination of fertility awareness methods
s/s: breast tenderness, pelvic fullness/tenderness, midcycle lower abd
pain at ovu- lation
11.Standard Day method?: *Must have 26-32 day cycle
Avoid intercourse on days 8-19 days of cycle (white beads=fertile)
12.Two-day method: Avoid intercourse if you had any secretions "today"
or "yes- terday"
13.Barriers: Mechanical: obstructs sperm
Chemical: Spermicide
14.Male condoms: Nonlatex have higher risk of pregnancy & STIs
15.Female condoms: Outer & inner ring inserted in vag, held in place
by public bone
16.Diaphragm w/ spermicide: Needs to fitted (esp. after pregnancy, abd
+ pelv. surgery, weight loss/gain of 10 lbs)
Inserted 4 hours before intercourse
Leave in place for at least 6 hours after intercourse
*NEED TO BE COMFORTABLE W/ UR BODY
17.Cervical Cap: Fitted (Refit after weight changes, abortion, preg)
Insert 36 hours b4 sex, leave in place for at least 6 hours after sex
3/
