Pearson Chpt 8 NCLEX PN Reproduction, Family Planning and Infertility
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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
is characterized by 1 year of amennorhea and occurs on average at age 50
takes place in the testes; spermatozoa then proceed through epididymal tubules where motility and fertility develop, and are stored in reservoir of epididymis
occurs before ever conceiving where as secondary infertility occurs after a pregnancy
an ovum begins to mature during follicular phase as a result of FSH
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
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
Many couples experience shame, guilt, blame, or grief stages during the diagnosis and treatment of what?
is a form of artificial insemination
What does BRAIDED stand for?
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
Which method should you teach client to assess cervical mucus daily for amount, color, consistency, and viscosity
Cervical mucus method
when using this you should avoid oil-based lubricants, but contraceptive foam or water-based lubricants may be used
after intercourse with condom, client should hold rim while withdrawing erect penis from vagina to prevent what
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
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
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.
it should be removed at least once during a 24 hour period to decrease risk of toxic shock syndrome
refitting may be needed following pregnancy or 10-15 lb's of weight gain or loss
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
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
This type of IUD can be left in place for up to 10 years
Copper T380A (Paragard)
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
Effectiveness of oral contraceptives may be decreased when taking what type of medicine?
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