Contraceptive Options Overview
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Questions and Answers

What symptom is commonly associated with fibrocystic breast changes?

  • Nipple discharge
  • Severe sharp pain
  • Fever and chills
  • Lumpiness in the breasts (correct)
  • Which of the following is NOT a recommended treatment for fibrocystic breast changes?

  • Surgical removal of lumps (correct)
  • Decreasing caffeine
  • Supportive bra
  • NSAIDs
  • What is a common risk factor for osteoporosis?

  • African descent
  • Menopause before age 40
  • Small body frame (correct)
  • High physical activity
  • What is the first step in managing epistaxis in a child?

    <p>Keep the child calm and seated forward</p> Signup and view all the answers

    If a nosebleed does not stop within how many minutes should one seek emergency care?

    <p>10-20 minutes</p> Signup and view all the answers

    What is the maximum time a diaphragm should remain in place after intercourse?

    <p>6 hours</p> Signup and view all the answers

    Which condition makes a woman not a candidate for using a cervical cap?

    <p>History of TSS</p> Signup and view all the answers

    What is a common side effect of using spermicide with a contraceptive device?

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

    How long should a contraceptive sponge be left in place at minimum?

    <p>6 hours</p> Signup and view all the answers

    What must patients who are at risk for toxic shock syndrome do with a diaphragm after intercourse?

    <p>Remove it within 6-8 hours</p> Signup and view all the answers

    What factor necessitates a woman to be re-fitted for her diaphragm?

    <p>Weight loss or gain over 20%</p> Signup and view all the answers

    What is one of the common side effects associated with toxic shock syndrome?

    <p>Sore throat</p> Signup and view all the answers

    What step is required before inserting a contraceptive sponge?

    <p>Moisten it with water</p> Signup and view all the answers

    What is one of the conditions necessary for a mother to rely on lactational amenorrhea as a method of birth control?

    <p>The mother must be exclusively breastfeeding.</p> Signup and view all the answers

    What property does N-9, commonly used as a spermicide, have?

    <p>It can debilitate sperm.</p> Signup and view all the answers

    What is a significant risk associated with the frequent use of N-9 spermicide?

    <p>Increased transmission of HIV.</p> Signup and view all the answers

    Which statement accurately describes the use of male condoms?

    <p>They may degrade when used with oil-based substances.</p> Signup and view all the answers

    How should the female condom be properly positioned during use?

    <p>The closed end should be placed high into the vagina and the open ring should cover the labia.</p> Signup and view all the answers

    What is a common side effect of using female condoms during intercourse?

    <p>Sound during use, potentially distracting both partners.</p> Signup and view all the answers

    What important aspect should healthcare providers remember about the diaphragm as a contraceptive method?

    <p>It should be placed high into the vagina to cover the cervix.</p> Signup and view all the answers

    What is a crucial requirement for lactational amenorrhea to effectively suppress ovulation?

    <p>The mother must nurse every 4 hours during the day.</p> Signup and view all the answers

    What should patients at risk for Toxic Shock Syndrome do after intercourse?

    <p>Remove contraceptives after 6-8 hours</p> Signup and view all the answers

    Which of the following is NOT a common side effect of Toxic Shock Syndrome?

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

    What is a critical contraindication for using Combined Oral Contraceptives (COCs)?

    <p>Previous history of breast cancer</p> Signup and view all the answers

    How should the Transdermal Contraceptive Patch be used?

    <p>One patch every week for 3 weeks, then no patch for the 4th week</p> Signup and view all the answers

    What must a woman do if she takes her oral progestin more than 3 hours late?

    <p>Use backup contraception methods</p> Signup and view all the answers

    Who is most likely to find progestin-only contraceptives suitable?

    <p>Women who are lactating or over 40 years old</p> Signup and view all the answers

    What should a patient do if the vaginal contraceptive ring falls out during intercourse?

    <p>Rinse it and reinsert within 3 hours</p> Signup and view all the answers

    At what age should women begin mammogram screening for breast cancer?

    <p>Age 40</p> Signup and view all the answers

    What substances can decrease the effectiveness of Combined Oral Contraceptives?

    <p>Anticonvulsants and some antifungals</p> Signup and view all the answers

    For women with a first-degree relative diagnosed with breast cancer, when should they start mammogram screening?

    <p>10 years before the relative's diagnosis age</p> Signup and view all the answers

    What is the main purpose of a breast MRI?

    <p>To investigate concerns found by other methods</p> Signup and view all the answers

    What does a DXA scan primarily screen for?

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

    What is the recommended frequency for Pap smears in women aged 30 to 65 if combined with an HPV test?

    <p>Every 5 years</p> Signup and view all the answers

    When is breast self-examination best performed?

    <p>5 to 7 days after menstruation ends</p> Signup and view all the answers

    What does a pelvic exam involve?

    <p>Assessment of both internal and external reproductive organs</p> Signup and view all the answers

    What should women aged over 65 do regarding Pap smear screening?

    <p>Stop screening after three negative tests and no risks</p> Signup and view all the answers

    What symptom is most commonly associated with acute streptococcal pharyngitis?

    <p>Edematous/red tongue</p> Signup and view all the answers

    Which treatment is recommended for croup in children?

    <p>Warm humidified air</p> Signup and view all the answers

    In managing asthma, what is an important educational point for parents?

    <p>Recognizing warning signs is crucial for prompt action.</p> Signup and view all the answers

    Which of the following symptoms is NOT typically seen in infection mononucleosis?

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

    What is a common sign of otitis media in children?

    <p>Ear drainage</p> Signup and view all the answers

    For which condition are OTC cough medications appropriate for children over six months of age?

    <p>Acute nasopharyngitis</p> Signup and view all the answers

    Which of the following is a management strategy for cystic fibrosis?

    <p>Providing adequate nutrition for growth</p> Signup and view all the answers

    In the case of status asthmaticus, what is the initial action a caregiver should take?

    <p>Call 911 for immediate assistance</p> Signup and view all the answers

    Which symptom is characteristic of RSV and bronchiolitis?

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

    What aspect of tonsillitis might indicate a bacterial infection?

    <p>Difficulty swallowing/breathing</p> Signup and view all the answers

    Study Notes

    Contraceptive Options

    • Coitus interruptus (withdrawal): Requires all parties to be aware that pre-ejaculate may contain sperm, still a risk for pregnancy. It is a non-hormonal method. Also carries risk for STIs.
    • Natural family planning: A non-hormonal method, dependent on compliance. Tracking menstrual cycles, observing vaginal mucus changes, and basal body temperature to avoid sex during fertile periods. Still carries STI risk.
    • Calendar rhythm method: A non-hormonal method requiring compliance and tracking menstrual cycles for 6 months. Calculates fertile period. Avoid sex during those days. Still an STI risk.
    • Standard days method: A non-hormonal method that relies upon compliance and cycle regularity. Avoid sex days 8-19 in a 26-32-day cycle.
    • Basal body temperature (BBT): A non-hormonal method relying upon compliance and charting daily basal body temperatures, which fluctuate with ovulation.
    • Cervical mucus method: A non-hormonal method observing cervical mucus changes to predict ovulation.
    • Symptothermal method: A non-hormonal method that combines BBT and cervical mucus methods to track ovulation.

    Barrier Methods

    • Spermicides: A chemical to disable sperm in various forms (tablets, suppositories, films, creams). To be inserted high into the vagina. Re-application is necessary.
    • Condoms (Male): A familiar contraceptive method that requires proper use; may not be consistent. Non-latex condoms do not have the same STI protection as latex condoms. Not compatible with oil-based products.
    • Condoms (Female): A vaginal sheath; less common but also available. Instructions provided with product.

    Hormonal Methods

    • Combined oral contraceptives (COCs): Inhibits ovulation by altering cervical mucus and endometrial lining. Detailed instructions and relevant contraindications are needed.
    • Transdermal contraceptive system: Similar to COCs but applied as a patch. Detailed instructions and contraindications provided.
    • Vaginal contraceptive ring: Similar to COCs but as a ring inserted into the vagina. Usage instructions are important.
    • Progestin-only contraceptives: Available in various forms (oral, injectable, implantable). Detailed instructions should be provided as part of this discussion.

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    Description

    Explore various contraceptive options including coitus interruptus, natural family planning, and the calendar rhythm method. This quiz assesses your understanding of non-hormonal methods and their implications. Learn about the associated risks of pregnancy and STIs with these approaches.

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