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NURS 5362 WOMEN'S HEALTH EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED $9.99   Add to cart

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NURS 5362 WOMEN'S HEALTH EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NURS 5362 WOMEN'S HEALTH EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Why is Contraception Important? annual pregnancies unintended (unwanted &/or mistimed) • highest risk: <20 yrs and > 40 yrs NP Must Know these Things about the Patient • Medical h Patient •...

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  • November 2, 2024
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  • 2024/2025
  • Exam (elaborations)
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NURS 5362 WOMEN'S HEALTH EXAM ACTUAL QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED


Why is Contraception Important?

annual pregnancies unintended (unwanted &/or mistimed) • highest risk: <20 yrs and >

40 yrs

NP Must Know these Things about the Patient • Medical h

Patient • Medical hx • Hx contraceptive use • did she stop a method and why? • Attitude

toward contraception • Sexual behavior • Understanding of own sexuality and feelings

about her body • Ability to make choices • Beliefs about contraception • Partner's

attitude & Cost and accessibility

Reasons for OC Discontinuation All Ages

Side effects 37%, Method difficulty 14%, Clinician recommended 9%

Who Uses What in the USA?

OCPs 26% • Sterilization 24% • Condom 19% • Withdrawal 6%

Contraceptive Methods • Method Failure Rate (typical use)

Pregnancy % • None 85%, • Spermicide 26 • withdrawal 28 • FAM 19 • diaphragm 40 •

condom 19 • OCPs 9 • IUD 5 • Progestins LT 1 • Sterilization 1

Oral Contraceptives

Review the menstrual cycle or OCPs won't make sense to you, • MAJOR Action:

suppression of ovulation • Estrogen effects • ovulation inhibited by inhibition

FSH/LH • uterine secretions altered • acceleration ovum transport • Progestin

, effects • suppression LH inhibits ovulation • cervical mucus thickens • ovum transport

slowed • alteration endometrium

• Systemic Hormonal Contraception (SHC)

COC combined oral contraceptives (E + P) • Pills • Patch • Vaginal ring

• POC progestin only contraceptives (P only)

• Pills • DMPA (Depo-Provera) • Implants

• Non-systemic

IUD (copper and progestin options) • Barrier methods (diaphragm, condom,

Foam/spermicide, sponge, cervical cap)

Teens & OCPs

Texas now denies minors access to contraceptive care w/o parental consent,

Adolescent Counseling • Counsel re right to say "no" to sex • Caution that OCs do not

prevent STDs • Discuss condom use: "How are you protecting yourself from HIV?" • Ask

how she plans to discuss condom use with her partner • Discuss emergency

contraception, Currently, all unmarried minors in Texas under age 17 who have sexual

contact must be reported as abused, unless there is documentation of "affirmative

defense"

Patient Question

• "What have you heard about using OCPs?" (or any method of contraception) • "What

experiences has a family member had with OCPs • "What concerns do you have or

would you have about using OCPs?

PREGNANCY STILL HAS A HIGHER ASSOCIATION MORBIDITY & MORTALITY

THAN ANY FORM OF CONTRACEPTION

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