Contraception and STI Assessment Quiz
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Questions and Answers

What is the time frame in which Levonorgestrel (Plan B) is most effective as emergency contraception?

  • Within 48 hours of unprotected intercourse
  • Up to 5 days after unprotected intercourse
  • Within 72 hours of unprotected intercourse (correct)
  • Within 12 hours of unprotected intercourse
  • Which emergency contraception method can be utilized the latest after unprotected intercourse?

  • Copper IUD (Paragard) (correct)
  • None, all have the same timeframe
  • Ulipristal acetate (Ella)
  • Levonorgestrel (Plan B)
  • What distinguishes primary infertility from secondary infertility?

  • Primary infertility occurs after a previous successful pregnancy, while secondary does not
  • Primary infertility is easier to treat compared to secondary infertility
  • Primary infertility is due to male factors, while secondary is not
  • Primary infertility involves difficulty conceiving without prior pregnancies, while secondary occurs after a previous pregnancy (correct)
  • Which of the following is not a typical cause of infertility?

    <p>Increased physical activity</p> Signup and view all the answers

    What formula is used to calculate the IV flow rate?

    <p>IV flow rate (mL/hr) = Total Volume (mL) / Time (hours)</p> Signup and view all the answers

    Which emergency contraception method prevents or delays ovulation?

    <p>All of the above</p> Signup and view all the answers

    In assessing infertility, what is essential for the nurse to consider?

    <p>Cultural beliefs and practices</p> Signup and view all the answers

    Which of the following is a common side effect of emergency contraception?

    <p>Nausea</p> Signup and view all the answers

    Which type of contraceptive method creates an inhospitable environment for sperm and eggs?

    <p>Copper IUD (Paragard)</p> Signup and view all the answers

    Study Notes

    Contraception: Natural Family Planning

    • Methods include the rhythm method, cervical mucus monitoring, and basal body temperature tracking.
    • Effectiveness is variable and generally lower than hormonal or barrier methods, requiring meticulous tracking of menstrual cycles.
    • Key patient education involves teaching accurate tracking of fertility signs and emphasizing the consistency and limitations of this method.

    Vasectomy

    • Outpatient surgical procedure for male sterilization involves cutting and sealing the vas deferens.
    • Nearly 100% effective after sperm clearance, offering a permanent contraceptive solution.
    • Post-operative care includes rest, scrotal support, ice packs, and effective pain management; follow-up sperm analysis is critical to confirm sterility.

    STIs: Assessment (HPV)

    • Often asymptomatic; can lead to genital warts and abnormal Pap smear results.
    • Screening methods include Pap smears for women and HPV DNA tests for high-risk strains.
    • Prevention strategies encompass vaccination (e.g., Gardasil) and safe sex practices; education on regular screenings and the potential for HPV resolution is essential.

    STI Treatment & Medication (Herpes)

    • Medications include Acyclovir, Valacyclovir, and Famciclovir for outbreak management.
    • Suppressive therapy is particularly important during pregnancy to minimize neonatal transmission risk.
    • Patient education should cover avoiding outbreak triggers, recognizing early signs, and practicing safe sex to prevent transmission.

    Emotional Impact

    • May result in profound grief and potential postpartum depression, affecting couple relationships.
    • Nursing interventions focus on providing compassionate care, supporting families through grief, and recommending support groups or counseling services.

    Contraception: Barrier Methods/Patient Education

    • Barrier methods comprise male and female condoms, diaphragms, cervical caps, and spermicides.
    • Advantages include STI protection from condoms and hormone-free options; disadvantages include the necessity of correct usage for effectiveness.
    • Patient education emphasizes proper usage demonstration, addressing misconceptions, and the importance of consistent use.

    Diagnosis, Procedure, and Treatment of Female Infertility

    • Diagnostic procedures involve hormonal assessments (e.g., FSH, LH), hysterosalpingography (HSG) for fallopian tube evaluation, laparoscopy for endometriosis, and semen analysis for male factor infertility.
    • Treatment options range from ovulation induction (using Clomiphene citrate, letrozole) to assisted reproductive technologies (IVF, IUI) and surgical interventions for blockages or endometriosis.
    • Nursing considerations include emotional support, patient education regarding treatment processes and outcomes, and referrals to fertility specialists as necessary.

    Emergency Contraception

    • Types include Levonorgestrel (Plan B), ulipristal acetate (Ella), and the copper IUD (Paragard).
    • Mechanisms involve preventing or delaying ovulation; the copper IUD creates an inhospitable environment for reproductive cells.
    • Most effective within 72 hours of unprotected intercourse, with the copper IUD viable up to 5 days later; patient education on proper use, potential side effects, and follow-up care is crucial.

    Primary vs. Secondary Infertility

    • Primary infertility refers to inability to conceive after 12 months of unprotected intercourse without any prior pregnancies.
    • Secondary infertility is the inability to conceive after a previous successful pregnancy.
    • Common causes for both include ovulatory disorders, tubal damage, uterine conditions, and male factor issues; nursing considerations involve assessing contributing factors and providing education and emotional support.

    Math - Dosage Calculations

    • Dosage formula is expressed as Dose required = (Desired Dose / Stock Dose) x Volume of Stock.
    • Example: For a required dose of 250 mg from a stock solution of 500 mg/2 mL, the calculation is (250 mg / 500 mg) x 2 mL = 1 mL.
    • Regular practice of dosage calculations for oral, IV, and IM medications is recommended.

    Math - Calculating IV Med Rates

    • Formula for IV flow rate is IV flow rate (mL/hr) = Total Volume (mL) / Time (hours).

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    Description

    This quiz covers various contraception methods including Natural Family Planning and Vasectomy, as well as the assessment of STIs, particularly HPV. It highlights effectiveness, techniques, and necessary follow-up for each method. Test your knowledge on patient education and preventive strategies in reproductive health.

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