contraception - natural family planning

the role of the nurse regarding contraception is to

provide education and counsel

what are the 5 P’s of taking a sexual health history

partners, pregnancy, protection, practices, past hx (STIs)

___________ outweighs absolute __________

consistency;reliability

what is the most reliable method to prevent pregnancy

abstinence

what is the first least reliable method of birth control

lactational amenorrhea

why is lactational amenorrhea so unreliable

it only works if hormones stay “fully” suppressed

what hormone is at work with lactational amenorrhea to delay menses

prolactin

what is the disadvantage to lactational amenorrhea

the 1st ovulation is unpredictable

if a mother supplements feedings while using the lactational amenorrhea method or if feedings are q4hr during the day and q6 hr at night then mom is at risk for

pregnancy

what is the advatage to lactational amenorrhea

inexpensive

what is the second most unreliable form of contraception

pull out method

what is a key patient education topic for someone using the coitus interruptus method

pre-ejaculate can contain sperm and leak

what is the advantage to the pull out method

works with monogomous religious couples

what is the failure rate of the pull out method

22%

what are the 2 disadvantages to the pull out method

no STI prevention, requires male self control

what are the three types of natural family planning

calendar, symptothermal, cervical mucus

natural family planning works best if the woman has a

regular cycle

what kind of contraception works best with those who have strong anti- contraception religious beliefs

natural family planning

what is a warning that ovulation is occuring

mittelschmerz

what is it called when a woman experiences pain in the ovary region, mid cycle during ovulation

mittelschmerz

what is are 2 overall disadvantage to natural family planning

ruins spontaneity, doesn’t work if cycle not regular

ovulation occurs approximately ___ days before menses

14

the calendar method requires how many months of background info before it can be used

6 months

what is the shortest cycle formula

shortest cycle - 18 days

what is the longest cycle formula

longest cycle - 18 days

during a fertile period while using the calendar method the couple should use what two options

barrier method or abstinence

what are 3 advantages to the calendar method

inexpensive, no hormones, with barrier method increase effectiveness

what is the failure rate of the calendar method

24%

what are three disadvantages to the calendar method

no STI protection, unpredictable menses, compliance with abstinence

what are two things that can throw off ovulation - which is especially important for those using the calendar method

stress or illness

what are the three components of the symptothermal method

BBT, cervical mucus, mittelschmerz

when should the nurse educate the patient to check her BBT

every morning at the same time before she gets out of bed

BBT ____ before ovulation and ____ after ovulation

decreases; increases

the BBT will ____ 2-4 days before menses or remain ____ if pregnant

drop; high

when should the nurse educate the patient to avoid intercourse when using the symptothermal method

until 3rd night after increase in BBT

what are two advantages to the symptothermal method

inexpensive, accepted by most religions

what is the failure rate of symptothermal method

24%

what are the 2 disadvantages of the symptothermal method

temp easily affected, no STI protection

what are 4 things that can affect BBT

stress, fatigue, illness, environment

during ovulation the cervical mucus is

thin, flexible and stretches between fingers

what is it called when cervical mucus is thin, slippery and stretches between fingers at ovulation is also called what two things

spinnbarkeit or billings sign

good HH, obtain mucus from entrance of vagina, examine for consistency starting on last day of cycle, observe for thinning characteristic are all key patient education points for

cervical mucus

a rise in what hormone causes the cervical mucus to become thin, flexible, slippery and stretchy

estrogen

increased knowledge regarding mucus, self eval of mucus to recognize ovulation, doesn’t interfere with breast feeding, and helpful planning a pregnancy are all advantages of

cervical mucus family planning

what is the failure rate of cervical mucus family planning

24%

what are some disadvantages to cervical mucus family planning

discomfort touching own genitals, no STI protection

what is a risk of cervical mucus family planning

inaccurate if mixed with blood, semen, contraceptive foam, discharge