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all oocytes are present at birth; ovum matures via meiosis under influence of follicle-timulating hormone (FSH); lutenizing hormone (LH) transforms follicle into corpus luteum, which maintains pregnancy by producing progesterone
Oogenesis
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is characterized by 1 year of amennorhea and occurs on average at age 50
menopause
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takes place in the testes; spermatozoa then proceed through epididymal tubules where motility and fertility develop, and are stored in reservoir of epididymis
Spermatogenesis
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occurs before ever conceiving where as secondary infertility occurs after a pregnancy
Primary infertility
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an ovum begins to mature during follicular phase as a result of FSH
Ovulation
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prodcued b ovaries, especially ovarian follicle during ovulation; responsible for development of secondary sex characteristics at puberty; peaks in follicular phase of menstraual cycle; inhibits FSH and LH production
Estrogen
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obtained by taking oral temperature daily prior to arising from bed and graphing results on a month long graph; a sudden dip occurs on day before ovulation and is followed by a rise of 0.5 to 1.0 F, which indicates ovulation and remains until menstration begins
Basal Body Temperature (BBT) or resting body temperature
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Many couples experience shame, guilt, blame, or grief stages during the diagnosis and treatment of what?
Infertility
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is a form of artificial insemination
Intrauterine insemination
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What does BRAIDED stand for?
- -benefits
- -risks
- -alternatives
- -inquires
- -decisions
- -explanations
- -documentation
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Advantages are safe, free and available to all; 100% effective in preventing pregnancy and sexually tranmitted infections when consistently practiced, can be initiated at any time and encourages communication between partners
Abstinence
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Which method should you teach client to assess cervical mucus daily for amount, color, consistency, and viscosity
Cervical mucus method
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when using this you should avoid oil-based lubricants, but contraceptive foam or water-based lubricants may be used
Male Condom
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after intercourse with condom, client should hold rim while withdrawing erect penis from vagina to prevent what
leakage
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After intercourse with this condom and before woman stands up, remove condom by squeezing and twisting outer ring to close sheath wile gently pulling from vagina
Female condom
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Type of method of contraception:
Apply N9 inside vagina and close to cervix before placing penis near introitus, and must be applied with each ast of sexual intercourse
Spermicide
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Type of contraception:
Should be left in place for a least 6 hours after coitus, if in place more than 4 hours piror to intercourse or if coitus is desired again within 6 hours a condom should be used or additional spermicide should be used without disturbing.
Diaphragm
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it should be removed at least once during a 24 hour period to decrease risk of toxic shock syndrome
Diaphram
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refitting may be needed following pregnancy or 10-15 lb's of weight gain or loss
diaphram
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type of contraception:
insert cap at least 20 minutes but not longer than 4 hours prior to intercourse and may be inplace for up to 48 hours, and reapplication of spermicide with repeated intercourse in NOT needed
Cervical Cap
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Patient needs to check for presents of string protruding through cervix by inserting a finger into the vagina once a week for the first month and then after each menses when they have what
IUD
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This type of IUD can be left in place for up to 10 years
Copper T380A (Paragard)
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If one progestin-only contraceptive pill is missed at any time during cycle it should be immediately taken and the next pill at the regular time. What should a patient do anytime a pill is missed?
use an additional method of contraception through end of that cycle
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Effectiveness of oral contraceptives may be decreased when taking what type of medicine?
Antibiotics
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