Contraception and STI Assessment Quiz

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?

Increased physical activity Signup and view all the answers

What formula is used to calculate the IV flow rate?

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

Which emergency contraception method prevents or delays ovulation?

All of the above Signup and view all the answers

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

Cultural beliefs and practices Signup and view all the answers

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

Nausea Signup and view all the answers

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

Copper IUD (Paragard) 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).

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.