_______ is all the decisions an individual or a couple will make about whether and when to have children, how many to have and how they are spaced.
Reproductive life planning
True or False
Intentional pregnancies are important for the health of children because unintended or mistimed, both short-term and long-term consequences can result.
True
Although there are many contraceptive options for reliable pregnancy prevention, only ______ provides protection againts sexuallly transmited infections (STI or HIV).
abstinence
Offers 100% protection againts pregnancy
abstinence
An ideal contraception should be: (7)
Safe
Effective
Compatible with religious and cultural beliefs and personal preferences of user and partner
Free of bothersome side effects
Convenient to use and easy to obtain
Affordable and needing few instructions for use
Free of effects on future pregnancies after discontinuation
Categories of Commonly used birth control includes the ff: (5)
Natural family planning
Barrier ethods
Hormonal contraceptives
IUD
Surgical methods
______ is also called the periodic abstinence method. No chemicals or foreign materials in the body. Failure rate is 2%-25%. It only needs couples to be conscious of time period where a woman is mos likely to be fertile.
Natural family planning
True or false
Because abstinence is difficult for many people to adhere the method is has a high failure rate.
True
_____ is a method of avoiding pregnancy by avoiding sex on the days contraception may be possible.
Periodic abstinence
LAM the abbreviation for
Lactation Amenorrhea Method has a natural repression of both ovulation and menses.
LAM is a safe birth control method if an infant is : (5)
under 6 months of age
Being totally breastfed at least every 4 hours during the day and every 6 hours at night
Receives no supplementary feeding
For the mother, menses have not returned
After 6 months LAM method can be questionable if______
the infant receives supplemental feeding or isn't sickling well or if the baby sleeps at night, even if it occurs before the child could reach 6 months of age.
Coitus interupptus is also known as the _____ method
withdrawal
The oldest known method of contraception.Unfortunately ,ejaculation may occur before withdrawal is complete and , despite the caution used, some spermatozoa may be deposited into the vagina. This method also does not protect against STI.
What is douching?
Douching is washing or cleaning out the vagina with water or other mixtures of fluids.
Douching after coitus is a method that is considered to be ineffective because
sperm may already be present in the cervical mucus as quick as 90 sec after ejaculation, long before douching can be established.
________ is a method used where they rely on detecting when a person will be capable of impregnation (fertile) so they can use periods of abstinence during that time.
Fertility method
What are the variety of ways to determine fertile period?
calendar (rhythm) method
basal body temperature method
cervical mucus (billing's method)
two day method
symptothermal method
standard day method:cyclebeads
ovulation detection
marquettes model
Sperms survival rate is around _- _ days, rarely ___ days.
3-5, 7
____ method requires a person to abstain from coitus on the day of a menstrual cycle when they are most likely to conceive.
Calendar (rhythm) method
______ method is used when a persons temperature falls 0.5 degree fahrenheit. At this time of ovulation temperature because of the rise of progesterone with ovulation.
BBT method Basal Body Temperature Method
True or false natural family planning is usually not the contraceptice of choice for adolescents.
True
A method by using the changes in cervical mucus that occurs naturally with ovulation.
Cervical mucus method
Before ovulation each month , the cervical mucus is _____.
thick and does not stretch
On the peak day or ovulation day, the cervical mucus becomes _____.
copious, thin, watery and transparent. It feels slippery like eggwhites and stretches atleast 1 in.
In addition breat tenderness and anterior tilt to the cervix occurs.
How can a person use the 2 day method?
A person will assess for vaginal secretions daily. If they feel secretions for 2 days, they avoid coitus that day and the following day as the presence of secretions suggest fertility.
A method of birth control that combines BBT and Cervical Mucus method.
Symptothermal Method
This method is designed for people who have menstrual cycles between 26-32 days. They purchase a circle of beads that helps predict fertile days.
The first bead of the ring is red and marks the first day of menstrual flow this is followed by 6 brown beads which indicates safe days. 12 glow in the dark beads indicate safe.
Standards Days method: CycleBeads
______are those that place a chemical or latex barrier between the cervix and advancing sperm.
barrier method
Examples of barrier method includes: (4)
spermicides
male and female condoms
diaphragm
cervical cap
It is a chemical barrier method and is often used in combination with other physical barrier methods.
spermicides
True or false
Spermicide not only actively kill sperm but also change the vaginal pH to a strong acid level, a condition not conducive to sperm survival.
True
Contraindications of barrier methods are
Not effective if the uterus is retoflexed, prolapsed or anteflexed
Cystocele or rectocele
Higher number of UTI than non users
Herpes virus infection or HPV
History of toxic shock syndrome;a straphylococous infection introduced through the vagina.
Allergy to rubbe or spermicides
History of UTis
An abnormally short or long cervix
A current abnormal Pap smear
A history of TSS
An allergy to latex or spermicide
A history of cervicitis or cervical infection
A history of cervical cancer
Undiagnosed vaginal bleeding
not be as effective in parous women
How to prevent Toxic Shock Syndrome.
Wash their hands thoroughly with soap and water before insertion or removal.
Do not use a diaphragm during a menstrual period.
Do not leave a diaphragm in place longer than 24 hours.
Be aware of the symptoms of TSS, such as elevated temperature, diarrhea, vomiting, muscle aches, and a sunburn-like rash.
If symptoms of TSS should occur, immediately remove the diaphragm and contact a healthcare provider.
Author
wyn
ID
363219
Card Set
Chapter 6. Nursing care for family in Need of Reproductive Life Planning