Podcast
Questions and Answers
What is the primary function of hormonal contraceptive methods?
What is the primary function of hormonal contraceptive methods?
Which of the following is a type of combined contraceptive method?
Which of the following is a type of combined contraceptive method?
What should be done during a follow-up visit for a client using hormonal contraceptives?
What should be done during a follow-up visit for a client using hormonal contraceptives?
Which of the following is NOT a progesterone-only contraceptive method?
Which of the following is NOT a progesterone-only contraceptive method?
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What type of information should be provided to a client regarding their selected contraceptive method?
What type of information should be provided to a client regarding their selected contraceptive method?
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Which of the following is NOT a focus of the physical examination during the assessment for contraceptive method choice?
Which of the following is NOT a focus of the physical examination during the assessment for contraceptive method choice?
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What types of laboratory investigations are typically performed during the initial assessment for contraceptive methods?
What types of laboratory investigations are typically performed during the initial assessment for contraceptive methods?
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Which of the following factors is essential in assessing a couple for contraceptive method choice?
Which of the following factors is essential in assessing a couple for contraceptive method choice?
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What must be assessed to ensure safety in selecting a contraceptive method?
What must be assessed to ensure safety in selecting a contraceptive method?
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Which statement best describes the existence of contraceptive methods?
Which statement best describes the existence of contraceptive methods?
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What is the main goal of family planning?
What is the main goal of family planning?
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Which category of effectiveness includes methods resulting in 0-0.9 pregnancies per 100 women?
Which category of effectiveness includes methods resulting in 0-0.9 pregnancies per 100 women?
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Which of the following is NOT a component of family planning services?
Which of the following is NOT a component of family planning services?
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Which characteristic is essential for an ideal contraceptive method?
Which characteristic is essential for an ideal contraceptive method?
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What type of family planning method involves hormonal devices or medications?
What type of family planning method involves hormonal devices or medications?
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Study Notes
Contraceptive Counseling
- Provide detailed instructions and explanations regarding the chosen method.
- Ensure that the client understands the instructions and is satisfied with the method.
- Distribute the chosen method, as well as a backup method.
- Inform the client of the next visit.
Return/Follow-up Visit
- Assess client feedback.
- Replenish supplies of the chosen contraceptive method.
- Answer client questions and encourage continued use.
- Reinforce important instructions.
- Conduct periodic examinations to detect and manage possible side effects and complications.
- Evaluate the clinic's success rate.
Hormonal Contraceptive Methods
- A family planning method that uses synthetic hormones (progesterone or estrogen and progesterone combination) to prevent pregnancy.
- Hormones suppress ovulation.
Combined Contraceptives (Estrogen + Progesterone)
- Combined oral contraceptive pills (COCs).
- Combined Injections.
- Transdermal contraceptive patch.
- Vaginal contraceptive ring.
Progesterone Only Contraceptives
- Progesterone only pills – mini pills (POPs).
- Progesterone Only Injections.
- Contraceptive implant.
Nursing Care Management for Contraceptive Method Choice
- The nurse plays a critical role in assisting women in selecting a suitable and acceptable contraceptive method.
Initial/First Visit
- Initial assessment screens for contraindications to family planning methods.
History Taking
- Socio-demographic data, including potential drug abuse and habits (e.g., smoking).
- Existing medical conditions or previous surgeries.
- Family history to assess genetic disease risks.
- Menstrual and gynecological issues, as well as reproductive history.
- Previous contraceptive use.
- Personal interests, biases, and future childbearing plans.
Physical Examination
- Complete physical exam (head to toe), focusing on the reproductive system.
- A urologist performs male examinations.
- Measure height, weight, body mass index, and vital signs (especially blood pressure).
Laboratory Investigations
- Blood Tests: Complete Blood Count (CBC), blood type, blood clotting, liver function tests, hemoglobin, and glucose screening.
- Female-Specific Tests: Cervical culture, Pap smears, and sexually transmitted disease (STD)-specific smears and urine analyses.
- Male-Specific Tests: Seminal fluid analysis (sperm count, motility, condition of sperm), STD-specific smears and urine analysis.
Family Planning
- Unfortunately, no ideal contraceptive method exists to meet all situations.
Definition of Key Terms
- Family planning: involves cognitive decisions and behavioral practices that allow a woman to conceive a wanted pregnancy and avoid an unwanted or poorly timed pregnancy.
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Effectiveness: is measured by the number of pregnancies per 100 women using the method per year.
- Highly/Very effective: 0-0.9 pregnancies per 100 women
- Effective: 1-9 pregnancies per 100 women
Scope of Family Planning Services
- Counseling for choosing the right contraceptive method.
- Distribution of contraceptive methods.
- Follow-up with users for effective and safe use.
- Training of health personnel.
- Management of infertility.
- Genetic and premarital examination and counseling.
- Providing sexually transmitted disease (STDs) screening and treatment.
Types of Family Planning Methods
- Hormonal Contraceptives
- Spermicides & barrier methods
- Intrauterine device (IUD)
- Emergency contraceptive method
- Natural Contraceptives
- Surgical Contraceptives (Voluntary Sterilization)
Characteristics of an Ideal Contraceptive Method
- Cheap, available, accessible, and easy to use.
- No continuous medical supervision needed.
- Safe/harmless (no adverse effects or complications).
- 100% effective in preventing pregnancy (no failure rate).
- Reversible (no fertility delay after discontinuation).
- Does not interrupt sexual intercourse or diminish sexual sensation.
- Long-acting (does not require continuous motivation).
- Prevents STDs.
- Acceptable regarding cultural and religious factors.
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Description
This quiz covers essential aspects of contraceptive counseling, including instructions for hormonal methods and follow-up procedures. It will help you understand different contraceptive methods, their effectiveness, and how to support clients in making informed choices. Assess your knowledge on hormonal contraceptives, particularly combined methods, and best practices for patient follow-up.
