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family planning
nursing ins and family education
| Question | Answer |
|---|---|
| half of all pregnancies are intintednded aither unwanted or mistied, contraception is used by what percent of all women at risk for prenancy who do not want to become pregnant? | 89% |
| pealthy people 2010 goal is t increase what? | increase thenumber of pregnancies that are intended to 70% |
| almost half of unintended pregnancies occur i women who are using a contraceptive method but use it incorrectly or inconsistently or have a contraceptive failure what can impact this? | If women had adequate education about their chosen mehtod of contracptive, if nurses rinforced teaching and provid an opportunity for a pt to ask questions after intial use to ensure the owoman is using her method correctly. |
| Nurses must feel comfortable discussing contraception and be sensitive to the woman's concerns and feelings | do not introduce own biases toward or against specific mehtods, personal experience and choice of nurse is not pertintint, focus is on needs of woman and her partner. |
| contraceptive counseling? | types, risks/benefits, how to, troubleshooting, Emergency Contraceptive, back up methods instruction manual, what if woman changes her mind, finalize w/ questions and concerns, click heels twice with incantation while wearing ruby slippers |
| Female sterilization | is the second leadin method, tuabl ligation, easier during C/section or in first 48 hrs after vaginal birth, interval surgery as outpt, electrocoagulation method of tubal occlusion |
| post op care | 24 hr rest, no heavy lifting, mild analgesics for pain, avoidance of intercourse for a week, observ for: febrile, syncope, severe pain, hemorrhage from incision |
| male sterilization | lift out vas deferens, ligation/removal of via cutery, semen no longer contains sperm, performed less frequently than tubal ligation, involves lower morbitity anc can be done in office under local anesthetic, less expensive, |
| post procedure care, | rest for 48 hrs, ice to area, scrotal support for 2 days, mild analgesic, strenous activity should be avoided 1 week for bleeding, observe for: fever, severe pain, bleeding, edema over x2, painful nodule, |
| hormonal contraceptives | hormone implant, prgestin (norplant), six flexible capsules inserted SQ in upper inner arm local anethesia, not in US, single rod progestin implant, expecting usda approval, implant is 4 cm long, 3yr effect,antiovulative, thickens cervical mucus |
| hormone injections | Dep Provera, injectable progestin that prevents ovulation for 12 wks, convenient with failure rate of 3%, menstrual irregularities are major reason for discontinuation. spotting and breakthrough bleeding are common, Amenorrhea 30-50yrsage 1yr use |
| Side Effects of Depo Provera | weight gain upto 4 lbs per yr, h/a, nervousness, decreased libido, breast discomfort, depression, |
| Depo provera is not recommended for use longer than ? | 2 years |
| fertility returns in ? | 10-18 mos. |
| route and time? | deep IM and within 5 days of period, if later need backup contraception or if woman is more than 1 week late returning for subsequent infection |
| oral contraceptives | leading contraceptive method in the US, If OC's are used perfectly, three women in 1000 become pregnant n the first year. Failure rate is 8% for typical user |
| Combination OC: | estrogen and progestin, most common OC's, MOA: causes thick cervical mucus, prevents sperm from entering upper genital tract, bloscks luteinizing hormone inhibiting maturation of follicle/ovulation, 21 days on 7 days off |
| Minipills | contains only progestin, taken qd, less effectiv at inhibiting ovulation but does cause thickening cervical mucus, avoids s/e & risk factors associated w/estrogen for women who can't take estrogen, less popular than combo pill |
| benefits, risks, cautions: benefits | both types have low hormone levels than the OC original meaning risk for long term s/e are decreased, Benefits: reduction of heavy menstrual bleeding, dysmenorrhea, anemia, acne, cecrease in PMS, improved bone density, regular cycle |
| benefits, risks, cautions: risks | smoking 25 cigarettes daily, women over 35 who smoke more than 15 cigarettes daily and women over 40 who smoke at all should not use estrogen OC, ok ofr use in older women until age of menopause |
| side effects: | approx 32% dc OC w/in 1 year b/c of nausea, breast tenderness, weight gain or loss, fluid retentioin, amenorrhea, melasma, diff mix hormones reduce s/e and often in 1-3 mos of use, s/e's less frequent in low doses |
| pt education | proper intitiation, first sunday after 1st day of menses, avoid having a period on the weekend, take same time each day, what to do if OC dose is missed, interactions that decrease effectiveness |
| transdermal patch | estrogen and progestin supress ovulation/ thicken cervical mucus, regulates cycle,more effetive once a week, clean dry skin: abd, upper torso, butt, deltoid, not to breasts, diff site wk/same day x3 weeks, 7days, then no patch until menses |
Created by:
redhawk101
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