NM 701 MOD 3 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
All hormonal methods, including Mirena and Skyla/Kaleena.
Which methods have the possibility of impeding implantation by primary or secondary
mechanisms of action?
How much the user has to do, how difficult they are to use, how difficult they are
to access all influence perfect vs. typical use.
What factors influence contraceptive efficacy? Explain the differences in perfect and
typical use failure rates.
Tier 1: implant, sterilization, IUDs
Tier 2: Injectables, Pills, Patch, Ring, Diaghram
Tier 3: Condoms, Withdrawal, FAM, spermicide
Those w/ hormonal MOA are more effective then those w/o. And those requiring
user use each time are less effective.
What contraceptive methods are in each effectiveness tier? How does effectiveness
relate to mechanism of action, and user dependence?
What are some key developments in the history of contraception, and when did
these occur?
informed choice and consent in family planning and reproductive health have
three bases: ethical, pragmatic, and legal. Ethically, people have a right to
thorough information about products or procedures that can affect health and a
,right to decide what is done to their bodies. Pragmatically, people are more likely
to use their contraceptive method safely and effectively or undergo a medical
procedure when they freely choose and thoroughly understand it. Legally, you
must provide adequate information to help patients reach a reasonable and
informed decision about contraceptive options, medications, procedures, and
devices.
Describe the ethical, pragmatic, and legal basis for informed choice and consent in
family planning and reproductive health care.
Benefits of the method
Risks of the method (all major risks, all common minor risks, and related
uncertainties and unanswered questions); be sure to include consequences of
method failure.
Alternatives to the method (including abstinence and no method)
Inquiries about the method are the patient's right and responsibility
Decision to withdraw from using the method without penalty is the patient's right
at any time.
Explanation of the method is owed to the patient, in a format that is
understandable to the patient
Documentation that the caregiver has ensured understanding of each of the
preceding six points, usually by use of a consent form
Identify the components of the BRAIDED mnemonic for informed consent.
Condoms,
Vaginal Barrier Methods,
,Fertility Awareness,
Lactational Amenorrhea,
and Sterilization
What are the non hormonal methods of birth control?
Delayed genital contact that could result in pregnancy
Sperm is excluded from the genital tract preventing fertilization
100%
Abstinence
Description
Mechanism(s) of Action
Effectiveness
Can be used as an interval method,
may contribute to + self image if consistent w/ personal values,
risk of cervical ca - if no vag intercourse has ever occured,
- r/f STIs,
many religions/cultures endorse,
may encourage people to build relationships in other ways
No barriers, readily available, effective if used correctly,
, Abstinence
Advantages
Frustration or possible rejection if abstinence not adhered to.
Alcohol use may lead to failure to uphold decision for abstinence.
Requires commitment and self control,
non-understanding partner may seek other partners. Pt & partner may not be
prepared to contracept if they stop abstaining.
Abstinence
Disadvantages
Masturbation,
outercourse,
teach negotiating skills,
have partner agree,
still needs contraception education for future needs, suggest
condoms/emergency contraception just in case
Abstinence
Instructions for Patients
No medical
Partner may not agree, IVP may occur
COMPLETE SOLUTIONS VERIFIED
All hormonal methods, including Mirena and Skyla/Kaleena.
Which methods have the possibility of impeding implantation by primary or secondary
mechanisms of action?
How much the user has to do, how difficult they are to use, how difficult they are
to access all influence perfect vs. typical use.
What factors influence contraceptive efficacy? Explain the differences in perfect and
typical use failure rates.
Tier 1: implant, sterilization, IUDs
Tier 2: Injectables, Pills, Patch, Ring, Diaghram
Tier 3: Condoms, Withdrawal, FAM, spermicide
Those w/ hormonal MOA are more effective then those w/o. And those requiring
user use each time are less effective.
What contraceptive methods are in each effectiveness tier? How does effectiveness
relate to mechanism of action, and user dependence?
What are some key developments in the history of contraception, and when did
these occur?
informed choice and consent in family planning and reproductive health have
three bases: ethical, pragmatic, and legal. Ethically, people have a right to
thorough information about products or procedures that can affect health and a
,right to decide what is done to their bodies. Pragmatically, people are more likely
to use their contraceptive method safely and effectively or undergo a medical
procedure when they freely choose and thoroughly understand it. Legally, you
must provide adequate information to help patients reach a reasonable and
informed decision about contraceptive options, medications, procedures, and
devices.
Describe the ethical, pragmatic, and legal basis for informed choice and consent in
family planning and reproductive health care.
Benefits of the method
Risks of the method (all major risks, all common minor risks, and related
uncertainties and unanswered questions); be sure to include consequences of
method failure.
Alternatives to the method (including abstinence and no method)
Inquiries about the method are the patient's right and responsibility
Decision to withdraw from using the method without penalty is the patient's right
at any time.
Explanation of the method is owed to the patient, in a format that is
understandable to the patient
Documentation that the caregiver has ensured understanding of each of the
preceding six points, usually by use of a consent form
Identify the components of the BRAIDED mnemonic for informed consent.
Condoms,
Vaginal Barrier Methods,
,Fertility Awareness,
Lactational Amenorrhea,
and Sterilization
What are the non hormonal methods of birth control?
Delayed genital contact that could result in pregnancy
Sperm is excluded from the genital tract preventing fertilization
100%
Abstinence
Description
Mechanism(s) of Action
Effectiveness
Can be used as an interval method,
may contribute to + self image if consistent w/ personal values,
risk of cervical ca - if no vag intercourse has ever occured,
- r/f STIs,
many religions/cultures endorse,
may encourage people to build relationships in other ways
No barriers, readily available, effective if used correctly,
, Abstinence
Advantages
Frustration or possible rejection if abstinence not adhered to.
Alcohol use may lead to failure to uphold decision for abstinence.
Requires commitment and self control,
non-understanding partner may seek other partners. Pt & partner may not be
prepared to contracept if they stop abstaining.
Abstinence
Disadvantages
Masturbation,
outercourse,
teach negotiating skills,
have partner agree,
still needs contraception education for future needs, suggest
condoms/emergency contraception just in case
Abstinence
Instructions for Patients
No medical
Partner may not agree, IVP may occur
