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 (A)</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 (A)</p> Signup and view all the answers

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

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

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

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

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

<p>Irritation (C)</p> Signup and view all the answers

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

<p>6 hours (A)</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 (A)</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% (B)</p> Signup and view all the answers

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

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

What step is required before inserting a contraceptive sponge?

<p>Moisten it with water (B)</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. (B)</p> Signup and view all the answers

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

<p>It can debilitate sperm. (C)</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. (D)</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. (A)</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. (A)</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. (D)</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. (B)</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. (C)</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 (C)</p> Signup and view all the answers

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

<p>Headaches (A)</p> Signup and view all the answers

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

<p>Previous history of breast cancer (D)</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 (A)</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 (B)</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 (B)</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 (C)</p> Signup and view all the answers

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

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

What substances can decrease the effectiveness of Combined Oral Contraceptives?

<p>Anticonvulsants and some antifungals (D)</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 (A)</p> Signup and view all the answers

What is the main purpose of a breast MRI?

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

What does a DXA scan primarily screen for?

<p>Osteoporosis (A)</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 (C)</p> Signup and view all the answers

When is breast self-examination best performed?

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

What does a pelvic exam involve?

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

What symptom is most commonly associated with acute streptococcal pharyngitis?

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

Which treatment is recommended for croup in children?

<p>Warm humidified air (D)</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. (B)</p> Signup and view all the answers

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

<p>Wheezing (A)</p> Signup and view all the answers

What is a common sign of otitis media in children?

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

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

<p>Providing adequate nutrition for growth (A)</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 (B)</p> Signup and view all the answers

Which symptom is characteristic of RSV and bronchiolitis?

<p>Rhinorrhea (D)</p> Signup and view all the answers

What aspect of tonsillitis might indicate a bacterial infection?

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

Flashcards

Fibrocystic Breast Changes

A benign breast condition, often caused by hormone changes, that results in breast lumpiness, pain, and tenderness. Symptoms typically worsen before and after menstruation.

Lactational Amenorrhea Method (LAM)

A natural family planning method where breastfeeding inhibits ovulation and menstruation, preventing pregnancy.

Fibrocystic Breast Changes Treatment

Managing this condition involves supportive measures like wearing a bra, applying heat or cold, and avoiding smoking, alcohol, sodium, and caffeine. NSAIDs and birth control can also help.

LAM Requirements

For LAM to be effective, the mother must exclusively breastfeed, have no periods since birth, have a baby under 6 months, feed frequently, nurse long durations, and avoid bottle supplementation.

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Spermicides

Chemicals that weaken or kill sperm, preventing them from fertilizing an egg.

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Osteoporosis

A disease where bone density is reduced, leaving bones weaker and more prone to fractures.

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N-9

The most commonly used spermicide in the US.

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Osteoporosis Risk Factors

People of Caucasian or Asian descent, petite or thin individuals, and those with a family history of the disease are at increased risk.

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Male Condom

A thin sheath worn over the penis to prevent semen from entering the vagina.

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Epistaxis

Nosebleed, commonly occurring in childhood, usually brief and isolated, but recurring or severe bleeding may indicate underlying health issues.

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Condom Use Errors

Using condoms with oil-based lubricants can weaken them, and non-latex condoms offer less protection against STIs.

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Female Condom

A soft, flexible pouch inserted into the vagina to prevent sperm from entering the uterus.

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Diaphragm

A dome-shaped device placed over the cervix to block sperm from entering the uterus.

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Toxic Shock Syndrome

A rare but serious bacterial infection that can occur in people who use tampons, especially during menstruation.

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Toxic Shock Syndrome Symptoms

Symptoms include sunburn rash, diarrhea, dizziness, faintness, weakness, sore throat, aching muscles and joints, sudden high fever, and vomiting.

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Combined Oral Contraceptives (COCs)

Birth control pills containing both estrogen and progesterone, which work by inhibiting ovulation, altering cervical mucus, and altering the endometrium.

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COCs: Contraindications

COCs are contraindicated in individuals with a history of blood clots, cardiovascular disease, breast cancer, liver problems, and smokers over 35.

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Transdermal Contraceptive System

A patch containing estrogen and progestin that is worn on the skin for three weeks, followed by a week off.

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Vaginal Contraceptive Ring

A flexible ring inserted into the vagina that releases estrogen and progestin for three weeks, followed by a week without the ring.

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Progestin-Only Contraceptives

Birth control options containing only progesterone, available in oral, injectable, and implantable forms.

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Oral Progestins (Mini Pill)

A type of progestin-only pill that needs to be taken at the same time each day. If more than 3 hours late, a backup method is needed.

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Mammogram Screening

Regular mammograms are recommended for women starting at age 40 to screen for breast cancer. The frequency can be annual or biannual, and the age range typically extends to 75. Earlier screening at age 30 is advised if a first-degree relative has been diagnosed with breast cancer.

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Breast MRI

Breast MRI is used for investigating concerns found during other examinations. This can include assessing tumor locations, identifying cancers missed by other methods, and evaluating the effectiveness of chemotherapy. It's particularly helpful for women with augmented breasts and those with a high risk of breast cancer.

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Ultrasound for Breast Screening

Ultrasound may be conducted for younger women or those with dense breast tissue. It provides a different perspective compared to mammograms and can be more effective in certain cases.

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DXA Scan for Osteoporosis

A DXA scan, also known as dual-energy x-ray absorptiometry, is the gold standard for diagnosing osteoporosis. It's a quick and painless procedure typically lasting 5-10 minutes.

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Pelvic Exam Purpose

This exam involves external inspection and the use of a speculum to visualize the cervix. It's an important part of routine gynecological exams.

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Pap Smear Age Range

Pap smears are recommended for women between 21 and 65 years old. The frequency varies depending on the test and individual risk: every 3 years with a Pap test alone, or every 5 years if combined with an HPV test. After 65 years old, screening may be discontinued after three negative tests and no risk factors, or after a total hysterectomy for benign disease.

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Breast Self-Examination

While current guidelines recommend breast self-examination as an option, it can be useful to perform it during the week after menstruation stops when breast size alterations are minimal.

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Interpreter for Consent

A certified interpreter is essential when obtaining informed consent from a patient who doesn't speak the same language as the healthcare provider.

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Respiratory Assessment

Evaluating a child's breathing to identify any potential problems. This includes looking at their breathing rate, depth, ease, rhythm, and any signs of distress.

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Cough Types

Different types of coughs can provide clues about the underlying cause. These include congested (wet), dry (hacking), whooping (high-pitched, forceful), and barking (seal-like).

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Lung Sounds

Abnormal lung sounds like wheezing, crackles, and rhonchi can indicate airway obstruction or inflammation.

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Respiratory Management

Managing breathing difficulties in children involves providing fluids, rest, clearing airways, and using medications like nebulizers or cough suppressants.

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Acute Nasopharyngitis

The common cold! It's a viral infection of the nose and throat with symptoms like congested coughing, runny nose, sore throat, and fever.

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Influenza

The flu is a viral respiratory infection causing symptoms like fever, coughing, sore throat, muscle aches, and headache.

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Acute Streptococcal Pharyngitis

Strep throat is a bacterial infection of the throat causing pain, fever, and red swollen tonsils.

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Tonsillitis

Inflammation of the tonsils, often occurring with pharyngitis, causing difficulty swallowing and breathing.

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Otitis Media

Ear infections, which are very common, causing ear pain, fever, and potentially drainage.

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Croup

A common viral illness that causes a barking cough, hoarseness, and mild respiratory distress, often worse at night.

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Diaphragm use

The diaphragm is placed inside the vagina, covering the cervix, and held in place by spermicide. It must be inserted before intercourse and remain for 6 hours after to be effective.

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Diaphragm refitting

A new diaphragm fitting is needed if there's a significant weight change (more than 20%), childbirth, a second-trimester abortion, or abdominal or pelvic surgery. A new over-the-counter version comes in one size.

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Diaphragm side effects

Potential side effects include irritation from the spermicide, not suitable for women with pelvic organ prolapse or recurrent UTIs, and a risk of Toxic Shock Syndrome (TSS).

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TSS risk with diaphragm

Diaphragm users have a risk of TSS. They should remove the device 6-8 hours after intercourse, avoid using it during menstruation, and recognize the signs of TSS.

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Cervical cap use

The cervical cap is very similar to the diaphragm in function and appearance. It must be left in place for 6-48 hours, but longer use increases TSS risk. Less spermicide is needed compared to the diaphragm.

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Cervical cap contraindications

Not suitable for women with abnormal pap smears, history of TSS, vaginal or cervical infections, difficulty with fitting or insertion/removal, or spermicide allergies.

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Contraceptive sponge use

The sponge is moistened with water, inserted into the vagina, and left in place for at least 6 hours but no more than 24-30 hours. It carries a risk of TSS.

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TSS symptoms

TSS symptoms include sunburn rash, diarrhea, dizziness, faintness, weakness, sore throat, muscle and joint aches, sudden high fever, and vomiting. Seek medical attention immediately if you experience these.

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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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