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Questions and Answers
What factors should be considered when selecting a method of contraception?
What factors should be considered when selecting a method of contraception?
- Health, effectiveness, cost, lifestyle, and willingness to comply only
- Health, effectiveness, cost, lifestyle, age, number of pregnancies, willingness to comply, and couple's preference (correct)
- Cultural values and age only
- Moral and religious values only
What is the nurse's role concerning contraception?
What is the nurse's role concerning contraception?
- To educate and guide individuals about available choices and their advantages (correct)
- To only inform patients about the side effects of contraception
- To discourage the use of contraception
- To make the final decision for the patient
In family planning, what should nurses be sensitive to when discussing birth control with patients?
In family planning, what should nurses be sensitive to when discussing birth control with patients?
- Patient's educational background only
- Patient's age and gender
- Patient's cultural and personal values (correct)
- Patient's financial status only
What should nurses encourage patients to do after providing information on birth control?
What should nurses encourage patients to do after providing information on birth control?
Why is the couple's preference an important factor in choosing a method of contraception?
Why is the couple's preference an important factor in choosing a method of contraception?
What is the recommended time for removing the diaphragm after coitus?
What is the recommended time for removing the diaphragm after coitus?
Which of the following is a potential side effect or complication of using a cervical cap?
Which of the following is a potential side effect or complication of using a cervical cap?
What is the recommended method for using a male condom correctly?
What is the recommended method for using a male condom correctly?
Which of the following is NOT a potential complication associated with intrauterine devices (IUDs)?
Which of the following is NOT a potential complication associated with intrauterine devices (IUDs)?
What is the recommended method for determining the fertile period when using the rhythm method?
What is the recommended method for determining the fertile period when using the rhythm method?
Which of the following is a true statement about tubal sterilization?
Which of the following is a true statement about tubal sterilization?
What is the potential complication of a tubal sterilization procedure?
What is the potential complication of a tubal sterilization procedure?
What is the primary purpose of a hysterectomy?
What is the primary purpose of a hysterectomy?
What is a potential side effect of a vasectomy?
What is a potential side effect of a vasectomy?
What is the recommended follow-up after a vasectomy?
What is the recommended follow-up after a vasectomy?
What is the primary mechanism of action for combined birth control pills?
What is the primary mechanism of action for combined birth control pills?
Which of the following is a potential complication associated with combined birth control pill use?
Which of the following is a potential complication associated with combined birth control pill use?
What is the recommended timeframe for taking the morning-after pill after unprotected sexual intercourse?
What is the recommended timeframe for taking the morning-after pill after unprotected sexual intercourse?
Which contraceptive method is preferred for women who are breastfeeding?
Which contraceptive method is preferred for women who are breastfeeding?
What is a potential side effect associated with the use of progestin-only pills?
What is a potential side effect associated with the use of progestin-only pills?
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Study Notes
Birth Control Planning
- Birth control planning involves considering moral, religious, cultural, and personal values
- Nurses should be sensitive to these factors when discussing birth control with patients
Factors to Consider When Selecting a Method
- Patient's health
- Effectiveness of the method
- Cost
- Lifestyle
- Ease of use
- Age
- Total number of pregnancies the patient has had
- Patient's willingness to comply with use
- Couple's preference
Nurse's Role
- Educate and guide the woman or couple concerning available choices
- Discuss advantages, disadvantages, side effects, and long-term effects
- Allow for insertion and removal practice sessions
- The final decision rests with the individuals involved
Contraception Methods
Barrier Methods
- Diaphragms
- Dome-shaped latex caps with flexible metal ring to cover the cervix
- Inner surface is coated with spermicide before insertion
- Provides mechanical barrier to sperm
- Available by prescription only and fitted by a professional
- 87% effective
- Cervical caps
- Rubber thimble-shaped shields covering cervix, held in place by suction
- Spermicide in inner surface provides mechanical barrier to sperm
- Fitted by professional
- Effectiveness similar to that of diaphragm
- Male condoms
- Thin rubber sheath fitting over erect penis, providing barrier to sperm
- Simple method to use, no prescription necessary
- 85% effective
- Female condoms
- Double-ring system fitted into the vagina up to 8 hours before intercourse
- No prescription necessary
- Affords protection against HIV, cytomegalovirus, and hepatitis B
Hormonal Methods
- Combined birth control pills
- Combination pill contains estrogen and progesterone
- Prevents ovulation, causes changes in the endometrium, and alterations in cervical mucus and tubal transport
- Simple and unobtrusive in use
- 99% effective
- Morning-after pill (Plan B)
- Contains norgesterel 500mg and ethinyl estradiol 50 mcg
- Creates a hostile uterine lining and alters tubal transport
- 98.4% effective
- Progestin-only pills
- Taken daily, with no pill-free days
- Preferred for women who are breast-feeding
- Does not suppress lactation but inhibits ovulation
- Thickens cervical mucus and alters uterine lining
Intrauterine Devices (IUDs)
- Inserted into uterus, flexible objects made of plastic or copper wire
- Contraception probably provided by inflammatory response in endometrium, preventing implantation
- 97% to 88% effective
Permanent Methods
- Tubal sterilization
- Includes a variety of abdominal and vaginal surgical procedures
- Permanently prevents sperm and ovum from meeting
- Nearly 100% (99.6%) effective
- Hysterectomy
- Surgical removal of uterus
- 100% effective
- Vasectomy
- Bilateral surgical ligation and resection of ductus deferens
- Sterilization is not immediate, usually takes about 1 to 3 months
- 100% effective
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