NSG 222 - Family Nursing

NSG 222 - Family Nursing

Exam 1

Question:

Barrier Methods of Contraception

Answer:

• Condom
• Cervical Cap
• Sponge
• Diaphragm

Question:

Diaphragm Contraceptive Method

Answer:

• Soft latex dome surrounded by metal spring.
• Used in conjunction with spermicidal jelly or cream
• Inserted into the vagina to cover the cervix.
• May be inserted up to 2 hours before intercourse and must be left in place

for at least 6 hours afterward.

• Available in a range of sizes and styles. 1 / 4

• Prescription only and professionally fitted by HCP

Question:

Cervical Cap Contraceptive Method

Answer:

The cervical cap is smaller than the diaphragm and covers only the cervix; it is held in place by suction. Caps are made from silicone or latex and are used with spermicide. The cap may be inserted up to 36 hours before intercourse and provides protection for 48 hours. The cap must be kept in the vagina for

• hours after the final act of intercourse and should be replaced every year of

use.

Question:

Sponge Contraceptive Method

Answer:

• Non-hormonal, soft concave device that includes a barrier AND

spermicide.

• Prevents pregnancy by covering the cervix and releasing spermicide.
• Unlike the diaphragm, the sponge can be used for more than one act w/in

24 hrs without inserting additional spermicide

• Does not require fitting or a prescription from HCP
• To use: first wet with water, squeeze it until it is thoroughly wet and foamy,

and then insert it into the vagina with a finger, using a cord loop attachment.

• Can be inserted up to 24 hrs before intercourse and should be left in place

for at least 6 hrs following intercourse. 2 / 4

• Provides protection for up to 12 hrs, but should not be left in more than 30

hrs to avoid TSS

Question:

Medical Abortion

Answer:

• Achieved through administration of med either vaginally or orally.
• Administration occurs in clinic or doctor's office
• May require more than one visit, and costs $500 - $800.

Question:

Two Drugs used in Medical Abortion

Answer:

• mifepristone and misoprostol.
• Mifepristone blocks progesterone, which is essential to the development of

pregnancy.

• Misoprostol, taken 24 to 48 hours later, works to empty the uterus by

causing cramping and bleeding.

• Follow-up ultrasound or blood test scheduled to confirm pregnancy was

terminated

• / 4

Question:

SAVE Model

Answer:

S: Screen all clients for violence by asking: Within the last year have you been physically hurt by someone? Do you feel you control of your life?Within the last year, has anyone forced you to engage in sexual activities?How is your present relationship?

A: Ask direct questions in a nonjudgmental way: Normalize the topic with women, make eye contact, stay calm, never blame, do not dismiss anything she tells you, do not use formal technical language, and be direct.

V: Validate client by telling her you believe her story, not blame her, it is

brave of her to tell you, and there is help for her.

E: Evaluate, Educate, and refer client by asking: what type of violence? Is she in danger right now? How is she feeling? Does she know there are consequences to violence? Is she aware of her resources?

Question:

Urge Incontinence: Definition, Symptoms, and Cause

Answer:

• Precipitous loss of urine preceded by a strong urge to void with increased

bladder pressure and detrusor contraction.

- S/S: Urgency, frequency, nocturia, large amount of urine loss.

• Causes: neurologic, idiopathic, or infectious
• / 4