RNSG 1538 Exam #1 Blueprint. Latest 2021,Question Answers & References
1. Concept:
Reproduction
Exemplar:
Contraceptives/Family
Planning
Focus:
... [Show More] Advantages and
disadvantages
Teaching/Learning
28. Concept:
Reproduction
Exemplar:
Contraceptives
Focus: Diaphragm
Teaching / Learning
Ricci, pgs 136 - 139 Table 4.4
Ricci, pgs. 157-158 Teaching Guidelines (Diaphragm insert time 6hrs)
Ricci, pg. 144 (Diaphragm insert time 4hrs)
Summary of Contraceptive Methods
Type Description Failure
Rate
Pros Cons Danger s/s
Abstinence refrain from
sexual activity
none free difficult to maintain none
Fertility-Awareness
Based Methods
refrain from sex
during female
period
25% - no side effects
- acceptable in
most religions
high failure rate due
to improper use
none
Withdrawal
(Coitus
Interruptus)
man pulls out
before ejaculation
27% involves no
devices & always
an option
requires self control
by the man
none
Lactational
Amenorrhea
Method (LAM)
uses lactational
infertility for
protection from
pregnancy
1-2%
chance of
pregnancy
in first 6
mo.
- no cost
- not linked to
coitus
- method is
temporary
- only works for 6 mo.
after birth
none
Male Condom thin sheath placed
over an erect
penis that blocks
sperm
15% - widely available
- low cost
- physiological
safe
- ↓’d sensation for
male
- interferes w/
spontaneity
- risk of breaking
Latex allergy
Female Condom polyurethane
sheath inserted
vaginally to block
sperm
21% - controlled by
woman
- eliminates post
sex semen
drainage
- expensive for freq
users
- cumbersome
- noisy during coitus
- single use only
allergy to
polyurethane
Diaphragm w/ shallow latex cup 16% - no hormone - needs HCP to fit - allergy to latex,
RNSG 1538 Exam #1 Blueprint Spring 2019
Spermicide w/ spring
mechanism in its
rim to hold it in
place
used
- considered
medically safe
- some protection
vs. cervical Ca.
rubber,
polyurethane, or
spermicide
- report s/s of TSS
- may become
dislodged if female
is in superior
position
Cervical Cap w/
Spermicide
soft-cup shaped
latex device that
fits over the base
of cervix
24% - no use of
hormones
- continuous
protection when in
place
- HCP must fit
- odor may occur if
left in too long
same as sponge
Sponge w/
Spermicide
disk-shaped
polyurethane
device containing
a spermicide that
is activates w/
wetting sponge w/
water
25% - immediate &
continuous
protection for 24
hrs
- OTC
- can fall out while
voiding
- doesn’t fit form in
vagina
- irritation
- allergic reaction
- abn. Pap test
- risk of toxic shock
syndrome (TSS)
Oral
Contraceptives
(Combination)
pill that
suppresses
ovulation by the
combo actions of
estrogen &
progestin
8% - easy to use
- high rate of
effectiveness
- protects against
ovarian &
endometrial Ca.
- pt must remember
to take pill daily
- poss. undesirable
side effects
- costly for some
- needs prescription
- dizziness
- nausea
- mood changes
- blood clots
- ↑ B/P
- CVA
- MI
Oral
Contraceptives
(Progestin-only;
Minipills)
pill with only
progestin that
thickens cervical
mucus, preventing
sperm penetration
8% - no estrogen
related side
effects
- lactation friendly
- pts w/ H/O
thrombophlebitis
can use
- must be taken
strictly
- irreg. bleeding risk
- < effective than
combo pills
- irreg. bleeding
- wt gain
- increased risk of
ectopic pregnancy
Patch (Ortho Evra) TD patch that 8% - easy to - poss. skin irritation less effective in pts [Show Less]