When using the CDC MEC system for evaluating contraceptive risk, CNMs and WHNPS can usually prescribe:
Category 1 only
Category 4 only
Category 1 and 2
Category 3 and 4
Match these contraceptive methods with their non-contraceptive benefits:
Tubal Sterilization -
Progestin Only Pill -
Male Condom -
Female Condom -
Combined Hormonal Contraception -
The most effective (99% typical usage efficacy) types of contraception include
These methods are very effective for typical users (91-99%)
Combined Oral Contraceptives
Progesterone Only Pills
The Female Condom
These methods are moderately effective (80%) when used typically:
Cervical Cap with spermicide
Diaphragm with spermicide
If you are obtaining a sexual history for a 17 year old girl who tells you they are abstinent, you should
Congratulate them and continue with the rest of the history
Ask about participating in specific sexual acts, including if anyone has put a penis in her mouth, vagina or anus.
Make a note that they are a virgin and continue charting
Advise them that they should be using a contraception, "just in case"
According to most professional standards practices, Health Care Providers who are religiously opposed to sex before marriage can ethically refuse to prescribe birth control.
The following statements about the withdrawal method are true
Withdrawal is no better than doing nothing at all.
More than half of women have used withdrawal at some point.
Perfect user rate for withdrawal is 4%.
Teens with no prior partners are the ideal user for this method because it makes them less vulnerable to negative repercussions from their parents finding out about their sexual activity.
One of the disadvantages of this method is that it does not protect against STIs.
When counseling a couple that uses withdrawal as their primary method of birth control for religious reasons:
Tell them they should really use something else.
Instruct the male to urinate between sexual acts
Share that the method can be effective as long as the male ejaculates outside the vagina even if it is near the vulva.
Tell them showering between sexual acts does not improve the efficacy.
If a client is wondering how long Lactational Amenorrhea will work, you tell her that as long as she follows the method, it should typically work for:
As long as she has not had a period
The mechanism of action for Lactational Amenorrhea Method is
Oxytocin suppresses ovulation
Ovulation is suppressed by hyperprolactinemia
Decreased estrogen production while lactating
depressed beta endorphin levels suppress ovulation
In order for Lactational Amenorrhea to be effective, you should counsel you client to:
Not to feed their infant more than every 3 hours at night
Not to use pacificers
Not to give the baby anything besides breastmilk and water for the first six months.
Look for signs of returning fertility
Use ovulation kits to determine the return of their fertility starting at 5 months.
A woman using LAM is concerned because of vaginal dryness. She wonders if using lubrication will increase her risk of pregnancy. You tell her:
That vaginal dryness is usually a sign of low estrogen which is a good indication that the LAM is working for her.
That she should be careful and use a condom with lubrication.
That the vaginal dryness has nothing to do with her fertility and she has nothing to worry about about.
A woman comes to the clinic complaining that her 5 month old baby is teething and is on a hunger strike. She has also noticed an increase in vaginal discharge. She is wondering if she should still continue to use LAM. You should tell her that:
LAM is effective for 6 months and she has nothing to worry about.
Tell her that she absolutely needs to use another form of contraception.
Rule out other causes for the vaginal discharge and ask her how frequently baby is nursing, how long the nursing strike has been, and if the baby is getting supplemental feedings.
Using the Two Day Fertility Awareness method, what does a woman track for two days?
Basal Body Temp
Awareness of the first day of her last period
Basal Body temp and secretions
Using the Calendar Fertility Awareness method, a woman must
Track her cycle for 6-12 months
Track her vaginal secretions for 6-12 months
Identify the longest and shortest cycles
Track her basal body temp for 6-12 months
To use the standard days method of Fertility Awareness, cycles must be between 26-32 day and you abstain between days between days __________.