NM 701 Mod 3 Exam Questions and Answers Graded A+
All hormonal methods, including Mirena and Skyla/Kaleena. - Answers 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. - Answers 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. - Answers What contraceptive methods are in each effectiveness tier?
How does effectiveness relate to mechanism of action, and user dependence?
- Answers 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. - Answers
Describe the ethical, pragmatic, and legal basis for informed choice and consent in family
planning and reproductive health care.
*B*enefits of the method
*R*isks of the method (all major risks, all common minor risks, and related uncertainties and
unanswered questions); be sure to include consequences of method failure.
*A*lternatives to the method (including abstinence and no method)
*I*nquiries about the method are the patient's right and responsibility
*D*ecision to withdraw from using the method without penalty is the patient's right at any time.
*E*xplanation of the method is owed to the patient, in a format that is understandable to the
patient
*D*ocumentation that the caregiver has ensured understanding of each of the preceding six
,points, usually by use of a consent form - Answers Identify the components of the BRAIDED
mnemonic for informed consent.
Condoms,
Vaginal Barrier Methods,
Fertility Awareness,
Lactational Amenorrhea,
and Sterilization - Answers 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% - Answers 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, - Answers 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. - Answers Abstinence
Disadvantages
Masturbation,
outercourse,
teach negotiating skills,
have partner agree,
still needs contraception education for future needs, suggest condoms/emergency
contraception just in case - Answers Abstinence
Instructions for Patients
No medical
Partner may not agree, IVP may occur - Answers Abstinence
Complications
Withdrawling penis completely prior to ejaculation
Decreases or eliminates sperm in vagina. Preejaculatory fluid no a problem unless 2 sex acts
occur close together.
96% perfect use, 78% typical use - Answers Coitus Interruptus
Description
Mechanism(s) of Action
, Effectiveness
No barriers,
readily available,
effective if used correctly, - Answers Coitus Interruptus
Advantages
May not work for couples w/ sexual dysfunction like premature ejaculation,
requires man's cooperation & control.
May reduce pleasure of woman & intensity of orgasm for man.
Encourages "spectatoring" or thinking about what is going to happen.
Relatively high failure rate
no protection against STIs. - Answers Coitus Interruptus
Disadvantages
Use back up method while mastering withdrawl technique.
Wipe penis clean of preejaculation fluid prior to vag penetration.
Use positions that ensure the man can pull out quickly. Use emergency contraception if
withdrawl fails. - Answers Coitus Interruptus
Instructions for Patients
None - Answers Coitus Interruptus
Complications
Use limited to women w/ regular cycles. Involves monitoring cycle and having unprotected
intercourse only during infertile periods. Abstinence or barrier method used during fertile period.
All hormonal methods, including Mirena and Skyla/Kaleena. - Answers 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. - Answers 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. - Answers What contraceptive methods are in each effectiveness tier?
How does effectiveness relate to mechanism of action, and user dependence?
- Answers 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. - Answers
Describe the ethical, pragmatic, and legal basis for informed choice and consent in family
planning and reproductive health care.
*B*enefits of the method
*R*isks of the method (all major risks, all common minor risks, and related uncertainties and
unanswered questions); be sure to include consequences of method failure.
*A*lternatives to the method (including abstinence and no method)
*I*nquiries about the method are the patient's right and responsibility
*D*ecision to withdraw from using the method without penalty is the patient's right at any time.
*E*xplanation of the method is owed to the patient, in a format that is understandable to the
patient
*D*ocumentation that the caregiver has ensured understanding of each of the preceding six
,points, usually by use of a consent form - Answers Identify the components of the BRAIDED
mnemonic for informed consent.
Condoms,
Vaginal Barrier Methods,
Fertility Awareness,
Lactational Amenorrhea,
and Sterilization - Answers 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% - Answers 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, - Answers 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. - Answers Abstinence
Disadvantages
Masturbation,
outercourse,
teach negotiating skills,
have partner agree,
still needs contraception education for future needs, suggest condoms/emergency
contraception just in case - Answers Abstinence
Instructions for Patients
No medical
Partner may not agree, IVP may occur - Answers Abstinence
Complications
Withdrawling penis completely prior to ejaculation
Decreases or eliminates sperm in vagina. Preejaculatory fluid no a problem unless 2 sex acts
occur close together.
96% perfect use, 78% typical use - Answers Coitus Interruptus
Description
Mechanism(s) of Action
, Effectiveness
No barriers,
readily available,
effective if used correctly, - Answers Coitus Interruptus
Advantages
May not work for couples w/ sexual dysfunction like premature ejaculation,
requires man's cooperation & control.
May reduce pleasure of woman & intensity of orgasm for man.
Encourages "spectatoring" or thinking about what is going to happen.
Relatively high failure rate
no protection against STIs. - Answers Coitus Interruptus
Disadvantages
Use back up method while mastering withdrawl technique.
Wipe penis clean of preejaculation fluid prior to vag penetration.
Use positions that ensure the man can pull out quickly. Use emergency contraception if
withdrawl fails. - Answers Coitus Interruptus
Instructions for Patients
None - Answers Coitus Interruptus
Complications
Use limited to women w/ regular cycles. Involves monitoring cycle and having unprotected
intercourse only during infertile periods. Abstinence or barrier method used during fertile period.
