NURS 5333 Family 1 (Contraception): Accurate
Answers To All Questions
Most Common Contraception Correct Answer - Oral contraception,
female sterilization ( tubal ligation or tubal implant), and condoms (US)
Discussion of contraception options Correct Answer - Always tailored
specifically to the patient and partner
- info about risk and benefits
- potential SE
- rate of efficacy
- effects on future fertility
Reversible methods Correct Answer - - Implants and intrauterine
devices (IUD) are VERY VERY VERY effective.
- Injectables (Depo-Provera)
- birth control pills
- rings
- patches
- diaphragm (not as popular anymore)
Not as reliable Correct Answer - - male and female condom
- Withdrawal method (22% reliable)
- Sponge
- Spermicide (28%)
- Fertility awareness-based methods (24%)
Shared decision-making (practitioner and patient) Correct Answer - - Pt
is asking for your expertise
- You are seeking their preference and their medical needs
Pelvic Exam w/ IUD Correct Answer - The only method that mandates a
pelvic exam is IUD insertion
- The other methods do not require a pap smear
MEC App Correct Answer - - comes from the CDC
, - With the app, you can just tap in what conditions the patient has and it'll tell
you what the patient is eligible to use for contraception and the safest for
them
Types of fertility control Correct Answer - - Hormonal contraceptives
- Oral contraceptives
- vaginal ring
- contractive patch
- Progestin only products
- Injectable contraception
- contraceptive implants
- IUD
- Natural family planning, barriers, sterilization: please refer to readings/
supplemental
Hormonal contraception Correct Answer - - thickens the cervical mucus,
creating a barrier
- affect production of Luteinizing hormone and follicle stimulating hormone,
which prevent egg recruitment
Estrogen Correct Answer - - decrease the follicle stimulation hormone,
preventing egg release
- Causes thickness of endometrium to be very stable, prevents shedding, you
get a thicker endometrium
Remember Correct Answer - Estrogen alone is not going to prevent
pregnancy, though progestin alone can prevent pregnancy
Progestin Correct Answer - - Prevents luteinizing hormone surge
- Causes thickening of the cervical mucus
-Thins out endometrium
Estrogen SE Correct Answer - - breast tenderness
- Cause lactation to cease (do not give combined contraception to breast
feeding mom's)
- Nause
- Melasma
- worsen Headaches
Answers To All Questions
Most Common Contraception Correct Answer - Oral contraception,
female sterilization ( tubal ligation or tubal implant), and condoms (US)
Discussion of contraception options Correct Answer - Always tailored
specifically to the patient and partner
- info about risk and benefits
- potential SE
- rate of efficacy
- effects on future fertility
Reversible methods Correct Answer - - Implants and intrauterine
devices (IUD) are VERY VERY VERY effective.
- Injectables (Depo-Provera)
- birth control pills
- rings
- patches
- diaphragm (not as popular anymore)
Not as reliable Correct Answer - - male and female condom
- Withdrawal method (22% reliable)
- Sponge
- Spermicide (28%)
- Fertility awareness-based methods (24%)
Shared decision-making (practitioner and patient) Correct Answer - - Pt
is asking for your expertise
- You are seeking their preference and their medical needs
Pelvic Exam w/ IUD Correct Answer - The only method that mandates a
pelvic exam is IUD insertion
- The other methods do not require a pap smear
MEC App Correct Answer - - comes from the CDC
, - With the app, you can just tap in what conditions the patient has and it'll tell
you what the patient is eligible to use for contraception and the safest for
them
Types of fertility control Correct Answer - - Hormonal contraceptives
- Oral contraceptives
- vaginal ring
- contractive patch
- Progestin only products
- Injectable contraception
- contraceptive implants
- IUD
- Natural family planning, barriers, sterilization: please refer to readings/
supplemental
Hormonal contraception Correct Answer - - thickens the cervical mucus,
creating a barrier
- affect production of Luteinizing hormone and follicle stimulating hormone,
which prevent egg recruitment
Estrogen Correct Answer - - decrease the follicle stimulation hormone,
preventing egg release
- Causes thickness of endometrium to be very stable, prevents shedding, you
get a thicker endometrium
Remember Correct Answer - Estrogen alone is not going to prevent
pregnancy, though progestin alone can prevent pregnancy
Progestin Correct Answer - - Prevents luteinizing hormone surge
- Causes thickening of the cervical mucus
-Thins out endometrium
Estrogen SE Correct Answer - - breast tenderness
- Cause lactation to cease (do not give combined contraception to breast
feeding mom's)
- Nause
- Melasma
- worsen Headaches
