Fertility

When educating adolescents about contraceptives, what kind of teaching is most effected for teenage girls?

audio visual teaching

How often is the IUD paraguard effective for?

10 years

How often is the IUD mirena effective for?

5 years

What should pt monitor for within the first 20 days of an IUD insertion?

infection

When looking at contraceptive options with a pt at high risk for STIs, which method should be avoided?

1. PO contraceptives

2. depo shot

3. IUD

IUD

How often should pt be checking for IUD tail in the first 4 wks of insertion?

every week

When should pt be checking for IUD tail after the first 4 wks of insertion?

every month after period

True or False: After giving a birth control injection, the nurse should massage the site to work out any soreness the shot may cause.

false: NO MASSAGING SITE

How long should pt be using a back up contraceptive method after getting a birth control injection?

for the 1st week after the shot

What 2 vitamins should a pt on a birth control shot be incorporating in their diet?

calcium and vit. D

What are the 3 risks that come with oral contraceptives?

1. no STD protection

2. HTN

3. increased r/o cervical cancer

What are the 2 side effects of oral contraceptives?

HA and nausea

Using the ACHES pneumonic, which signs should a pt look out for a contact PCP immediately if experiencing?

1. Abdomen pain

2. Chest pain/cough

3. HA/HTN

4. Eye problems

5. Swollen legs

If a pt comes in stating they missed a dose that morning, what should be the nurse’s response?

take the missed dose as soon as you remember

If a pt comes in saying they’ve missed 2 missed doses 2 days in a row, what should be the nurse’s response?

take 2 pills a day for 2 days and use a back up method for a week

What effect does PlanB or OneStep emergency contraceptive have on a fetus that’s already developing?

no harm to developing fetus

What effect does mifepristone emergency contraceptive have on a fetus that’s already developing?

disrupts existing pregnancy

For a pt over 17 years old seeking a PlanB or OneStep contraceptive, do they need a prescription?

no

Is a prescription required for a pt seeking mifepristone?

yes

What is the best protection from STDs?

abstinece

What is the 2nd best protection from STDs?

latex condoms

Which kind of lube should be used with condoms, water based or oil based?

water based