NM701 EXAM 3 QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A++
Informed consent re: contraception
BRAIDED
Benefits
Risks
Alternatives
Inquires - right and responsibility
Decision to stop without penalty
Explanation in understandable format
Documentation of understanding
US Medical Eligibility Criteria for Contraceptive Use (CDC/WHO)
OK to use
1. condition with no restrictions for use
2. condition where benefits outweigh risks for use
Not OK to use
3. condition where risks outweigh benefits (maybe in consultation with specialist)
4. condition with unacceptable risks for use (do NOT prescribe)
Which contraceptives have primary MOA to stop sperm and eggs from meeting
,male and female sterilization
abstinence
Which contraceptives have primary MOA to prevent sperm from entering vagina?
pull-out
condoms
Which contraceptives have primary MOA to attack sperm and reduce motility?
Chemical barriers/spermicides
Copper IUD is spermicidal
Which contraceptives have primary MOA is to provide barrier to cervix so sperm
cannot enter?
cervical cap, diaphragm, sponge
Progestin-only pills and hormonal IUD thicken cervical mucus
Which contraceptives have primary MOA is to prevent ovulation?
-lactational amenorrhea
-CHCs
-Progestin implant
-ECP
First rubber condom produced?
1855
When was birth control illegal
,Comstock Act
1873 to 1938
US public policies allowing sterilization of "unwilling and unwitting" people
1907 to 1929 these laws were coming in
The rise of Margaret Sanger!
1914 - coins "birth control"
1916 - open first birth control clinic, arrested immediately
1918 - birth control limitation deemed unconstitutional
1921 - founds American Birth Control League
Diaphragms become popular
1938
Enovid - first contraceptive pill, is approved by the FDA
1960
IUDs are approved
1968, come off the market starting in 1974 for safety concerns
1980s ParaGard is approved
Title X passes Congress and does what?
1970
provides low income individuals with family planning services
LARC - Norplant and Depo Provera hit the streets
, 1991, 1992
2002 - Norplant off the market for safety concerns
Emergency contraception Plan B is available OTC
2006 to those 18+ years
2013 to those <18 years
Which contraceptives can impede implantation by primary or secondary MOA?
IUDs (irritate endometrium)
CHC (degenerate CL)
ECP
Depo and implant (secondary)
Advantages of abstinence
-free!
-positive self-image when congruent with values
-lower risk of cervical cx r/t no HPV exposure
-reduced risk of STIs
Disadvantages of abstinence
-may be hard to maintain, esp with the addition of substance use
-may not have backup plan for contraception if abrupt decision to end abstinence
-can lead to relationship strain or violence
ANSWERS GRADED A++
Informed consent re: contraception
BRAIDED
Benefits
Risks
Alternatives
Inquires - right and responsibility
Decision to stop without penalty
Explanation in understandable format
Documentation of understanding
US Medical Eligibility Criteria for Contraceptive Use (CDC/WHO)
OK to use
1. condition with no restrictions for use
2. condition where benefits outweigh risks for use
Not OK to use
3. condition where risks outweigh benefits (maybe in consultation with specialist)
4. condition with unacceptable risks for use (do NOT prescribe)
Which contraceptives have primary MOA to stop sperm and eggs from meeting
,male and female sterilization
abstinence
Which contraceptives have primary MOA to prevent sperm from entering vagina?
pull-out
condoms
Which contraceptives have primary MOA to attack sperm and reduce motility?
Chemical barriers/spermicides
Copper IUD is spermicidal
Which contraceptives have primary MOA is to provide barrier to cervix so sperm
cannot enter?
cervical cap, diaphragm, sponge
Progestin-only pills and hormonal IUD thicken cervical mucus
Which contraceptives have primary MOA is to prevent ovulation?
-lactational amenorrhea
-CHCs
-Progestin implant
-ECP
First rubber condom produced?
1855
When was birth control illegal
,Comstock Act
1873 to 1938
US public policies allowing sterilization of "unwilling and unwitting" people
1907 to 1929 these laws were coming in
The rise of Margaret Sanger!
1914 - coins "birth control"
1916 - open first birth control clinic, arrested immediately
1918 - birth control limitation deemed unconstitutional
1921 - founds American Birth Control League
Diaphragms become popular
1938
Enovid - first contraceptive pill, is approved by the FDA
1960
IUDs are approved
1968, come off the market starting in 1974 for safety concerns
1980s ParaGard is approved
Title X passes Congress and does what?
1970
provides low income individuals with family planning services
LARC - Norplant and Depo Provera hit the streets
, 1991, 1992
2002 - Norplant off the market for safety concerns
Emergency contraception Plan B is available OTC
2006 to those 18+ years
2013 to those <18 years
Which contraceptives can impede implantation by primary or secondary MOA?
IUDs (irritate endometrium)
CHC (degenerate CL)
ECP
Depo and implant (secondary)
Advantages of abstinence
-free!
-positive self-image when congruent with values
-lower risk of cervical cx r/t no HPV exposure
-reduced risk of STIs
Disadvantages of abstinence
-may be hard to maintain, esp with the addition of substance use
-may not have backup plan for contraception if abrupt decision to end abstinence
-can lead to relationship strain or violence
