Podcast
Questions and Answers
What is the function of the reservoir in the SARC patch?
What is the function of the reservoir in the SARC patch?
- To store the medication in a solid matrix form
- To control the release of medication into the bloodstream (correct)
- To monitor the patient's hormone levels
- To apply the medication directly to breast tissue
What is a benefit of using the SARC patch?
What is a benefit of using the SARC patch?
- It can be used to treat headaches and breast pain
- It can be used by women who are pregnant or breastfeeding
- It is a non-hormonal form of contraception
- It is more convenient than other forms of hormonal contraception (correct)
What happens to cervical mucus when progestin is present?
What happens to cervical mucus when progestin is present?
- It becomes thinner and clearer
- It disappears completely
- It remains unchanged
- It becomes thicker and more difficult for sperm to travel (correct)
Why is the SARC patch not recommended for women who weigh over 198lbs?
Why is the SARC patch not recommended for women who weigh over 198lbs?
How long can the ring be left in place?
How long can the ring be left in place?
How often can a new SARC patch be applied?
How often can a new SARC patch be applied?
What happens if the ring is left in place for longer than 28 days?
What happens if the ring is left in place for longer than 28 days?
What is a potential risk associated with using the SARC patch?
What is a potential risk associated with using the SARC patch?
What is the purpose of the ring-free week?
What is the purpose of the ring-free week?
What is the advantage of the SARC patch's controlled release of medication?
What is the advantage of the SARC patch's controlled release of medication?
What is the result of thickened cervical mucus on sperm?
What is the result of thickened cervical mucus on sperm?
Why is it important to use the ring correctly?
Why is it important to use the ring correctly?
What form can the medication in the SARC patch take?
What form can the medication in the SARC patch take?
What happens to fertility after stopping the ring?
What happens to fertility after stopping the ring?
Why is the SARC patch considered effective?
Why is the SARC patch considered effective?
What is the relationship between progestin and the cervical mucus?
What is the relationship between progestin and the cervical mucus?
What is the effect of taking UPA before the onset of the LH surge?
What is the effect of taking UPA before the onset of the LH surge?
What is the primary goal of preconception counseling?
What is the primary goal of preconception counseling?
What is the time period typically referred to as the preconception period?
What is the time period typically referred to as the preconception period?
Who is responsible for providing preconception counseling?
Who is responsible for providing preconception counseling?
What is the One Key Question in preconception counseling?
What is the One Key Question in preconception counseling?
What is the effect of hormonal emergency contraception methods on an already implanted embryo?
What is the effect of hormonal emergency contraception methods on an already implanted embryo?
When can preconception counseling be integrated?
When can preconception counseling be integrated?
What does the One Key Question allow for in preconception counseling?
What does the One Key Question allow for in preconception counseling?
What is the recommended approach when a woman expresses ambivalence about pregnancy?
What is the recommended approach when a woman expresses ambivalence about pregnancy?
What is the primary reason why women who are uncertain about their pregnancy intention are at higher risk for unintended pregnancy?
What is the primary reason why women who are uncertain about their pregnancy intention are at higher risk for unintended pregnancy?
What is an important aspect of collaboratively developing plans for risk modification for future pregnancies?
What is an important aspect of collaboratively developing plans for risk modification for future pregnancies?
What is the primary benefit of the Mediterranean diet for pregnant and nonpregnant individuals?
What is the primary benefit of the Mediterranean diet for pregnant and nonpregnant individuals?
What is the recommended dietary approach for optimal preconception health?
What is the recommended dietary approach for optimal preconception health?
What is the purpose of a 24-hour diet recall in relation to preconception care?
What is the purpose of a 24-hour diet recall in relation to preconception care?
Why is folic acid supplementation important for women who are uncertain about their pregnancy intention?
Why is folic acid supplementation important for women who are uncertain about their pregnancy intention?
What is a key aspect of anticipatory guidance for women of reproductive age?
What is a key aspect of anticipatory guidance for women of reproductive age?
Why should women take folate regardless of their intentions for pregnancy?
Why should women take folate regardless of their intentions for pregnancy?
What is the primary goal when managing mental health disorders in women of reproductive age?
What is the primary goal when managing mental health disorders in women of reproductive age?
What is the first step in counseling a woman who has discovered she is pregnant?
What is the first step in counseling a woman who has discovered she is pregnant?
Why is it important to ask the woman if she has told anyone about the pregnancy?
Why is it important to ask the woman if she has told anyone about the pregnancy?
What is the primary reason for assessing for IPV or reproductive coercion in pregnant women?
What is the primary reason for assessing for IPV or reproductive coercion in pregnant women?
Why is confidentiality important in counseling a woman who has discovered she is pregnant?
Why is confidentiality important in counseling a woman who has discovered she is pregnant?
What should the healthcare provider do if a woman reports being unable to tell anyone about the pregnancy?
What should the healthcare provider do if a woman reports being unable to tell anyone about the pregnancy?
What is the primary goal of providing counseling options to a pregnant woman?
What is the primary goal of providing counseling options to a pregnant woman?
Study Notes
Contraception Methods
- SARC (Skin Applied Receptor Contraceptive) patch provides controlled release of medication, avoiding peaks and troughs in drug levels.
- The patch contains a reservoir that holds the medication, which can be in the form of a gel, liquid, or solid matrix.
- Rate-Control Thickening of Cervical Mucus: Progestin causes the cervical mucus to thicken, making it more difficult for sperm to travel through the cervix and reach an egg.
- UPA (Ulcerative Proctitis Agent) prevents follicular rupture if taken before the onset of the LH surge and reduces endometrial thickness, making the endometrium less hospitable for implantation of an embryo.
Preconception Care
- The preconception period is generally referred to the period of 3-4 months before conception.
- Preconception counseling can be integrated into other visits, such as well-women visits or birth control visits.
- The primary care provider is responsible for facilitating patient-centered evaluation of reproductive life-planning.
- One Key Question: "Do you want to be pregnant in the next year?" screens women for pregnancy intention and allows for an informed conversation to happen between the provider and the patient.
- Anticipatory guidance should be given in the form of a conversation or handouts.
Risk Modification for Future Pregnancies
- Collaboratively develop plans for risk modification focusing on:
- BMI/ nutrition/ lifestyle
- Substance/ physical abuse/ smoking cessation
- Vaccination
- Folic acid use
- Environmental exposure
- Pregnancy spacing/ timing
- Teratogen avoidance
- Fertility
- Medication use
- Genetic screening
- Nutrition: Optimal diet for preconception is high in vegetables and fruits, plant-based proteins, whole grains, healthy fish, and healthy fats, with moderate consumption of lean meats and poultry and avoidance of highly processed foods, fatty meats, and added sugars.
- Folate should be taken regardless of intentions for pregnancy.
Pregnancy Discovery
- Counseling options for patients:
- Parenting
- Adoption
- Abortion
- Confidentiality is important, and establish rapport with the patient using neutral language and asking open-ended questions.
- Steps:
- Explore how the woman feels about the pregnancy and her options.
- Help identify support systems and assess risk.
- Provide decision-making support or discuss a timetable for decision-making.
- Provide or refer woman to the desired services.
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Description
This quiz covers the SARC patch, a medication delivery system that releases controlled amounts of medication into the bloodstream. Topics may include weight limits, uses, and potential side effects.