NURS 3450 Module 2 CH 8

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How do Fertility Awareness Methods or Natural Family Planning prevent pregnancy?

by assisting individuals recognize the fertile days of a woman's menstrual cycle, allowing couples to avoid unprotected intercourse during those days

What is the name of the method that allows women to start using oral hormonal contraception at any time during their menstrual cycle?

The Quick Start method

What is the purpose of monitoring cervical secretions in Fertility Awareness Methods?

to identify the fertile days of a woman's menstrual cycle by evaluating the quantity and character of mucus

Which medication use is a contraindication for oral hormonal contraception?

Fosamprenavir, rifampin, or rifabutin, as well as certain anticonvulsant medications and lamotrigine Signup and view all the answers

What is the typical basal body temperature range during menses and for approximately 5 to 7 days afterward?

36.2°C to 36.3°C (97.16 °F to 97.34 °F) Signup and view all the answers

What are some serious adverse effects documented with high doses of estrogen and progesterone?

Stroke, myocardial infarction, thromboembolism, hypertension, gallbladder disease, and liver tumors Signup and view all the answers

What happens to basal body temperature after ovulation?

it averages between 36.5°C and 37°C (97.7 °F and 98.6 °F) and remains elevated until 2 to 4 days before menstruation Signup and view all the answers

Why is it essential to instruct women on a backup method of birth control when using oral hormonal contraception?

Because most women stop taking oral contraceptives for nonmedical reasons, and a backup method ensures continued pregnancy protection Signup and view all the answers

What is the significance of a continued elevated basal body temperature after ovulation?

it may indicate pregnancy, as the temperature remains high if pregnancy has occurred Signup and view all the answers

What is the significance of a 'drop of blood or a brown smudge on a tampon or underwear' in relation to menstrual bleeding patterns?

It counts as a menstrual period Signup and view all the answers

Why is it essential to keep the cervical mucus free from certain substances when using the mucus method?

to ensure an accurate assessment of changes, the cervical mucus should be free from semen, contraceptive gels or foams, and blood or discharge from vaginal infections for at least one full cycle Signup and view all the answers

What is the purpose of documenting the menstrual cycle in calendar-based methods?

to forecast days when the woman is ovulating Signup and view all the answers

How do continuation rates and breakthrough bleeding patterns compare between the Quick Start method and conventional start methods?

There is virtually no difference in continuation rates and breakthrough bleeding patterns between the two methods Signup and view all the answers

What is the significance of the temperature drop in some women around ovulation?

it may indicate ovulation, but not all women experience this temperature drop Signup and view all the answers

What should the nurse review with women using oral hormonal contraception?

The signs of potential complications associated with the use of oral contraceptives Signup and view all the answers

What is a common side effect of estrogen deficiency in oral hormonal contraception?

Early spotting Signup and view all the answers

What is the typical failure rate for most FAB methods during the first year of use?

15% Signup and view all the answers

What is the primary mechanism of action of spermicides such as nonoxynol-9 (N-9)?

Attacking the sperm flagella and body, thereby preventing the sperm from reaching the cervical os. Signup and view all the answers

In which phase of the menstrual cycle are women most fertile?

Fertile phase, which is approximately 5 to 7 days around the middle of the cycle. Signup and view all the answers

What is a disadvantage of FAB methods for women with irregular cycles, particularly adolescents?

Decreased effectiveness Signup and view all the answers

What is an advantage of FAB methods?

Heightened awareness and understanding of personal fertility Signup and view all the answers

What is a limitation of FAB methods in terms of sexually transmitted infections (STIs)?

No protection from STIs, including HIV infection. Signup and view all the answers

What is a challenge of using FAB methods that requires male partner support?

Adherence to strict recordkeeping Signup and view all the answers

What is the purpose of smartphone applications (apps) being developed for FAB methods?

To assist with following FAB methods and understand their effectiveness. Signup and view all the answers