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Cards In This Set
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Infertility
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Defined as a lack of conception despite
unprotected intercourse FOR AT LEAST
12 MONTHS
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Prenatal assessment of genetic disorders
include what tests?
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Choroinic villus sampling, percutaneous
umbillical blood sampling, amniocentesis
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Common factors in infertility include (4)
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Decreased sperm production, ovulation disorders, tubal occlusions, endometriosis
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Medications to treat female infertility increases the risk of multiple births by __%
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More than 25%
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Pelvic examination
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An assessment for vaginal or uterine anomalies
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Hysteroscopy
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Radiographic procedure where the uterus is examined for evidence of defect, distortion, or scar tissue that may impair impregnation
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Hysterosalpingography
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Outpatient radiological procedure where dye is used to assess patency of the fallopian tubes; obtain hx of allergy to iodine & seafood
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Laparoscopy
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Gas insufflation is used to visualize internal organs and may cause post procedural pain; anesthesia is used
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Semen collection
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Use a sterile collection device; 40% of infertile couples is d/t male infertility; less costly & invasive compared to female infertility testing
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Vasectomy
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Cutting of the vas deferens as a form of permanent sterilization; reinforce need for alternative birth control for 20 ejacualtions or 1 wk to several months for the sperm to clear the vas deferens to assure complete infertility
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Tubal ligation
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Cutting, burning, blocking of the fallopian tubes to prevent the ovum from being fertilized
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Hysterectomy
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Surgical removal of the uterus; partial or complete; including uterus, bilateral fallopian tubes, and ovaries
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BRAIDED:
acronym for informed consent with contraception
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"B"enefits (info abt advantages)
"R"isks (info abt disadvantages)
"A"lternatives (info abt other avail. methods)
"I"nquires (pt asks questions)
"D"ecisions (opportunity to decide/change mind)
"E"xplanation (info abt method use)
"D"ocumentation (info given/pt understanding)
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Calander Method (Rhythm Method)
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Calculate the fertile period based on assumption that ovulation occurs roughly 14 days before the onset of the next menstrual cycle; avoid intercourse at this time; Consider that sperm are viable for 48-120 hrs and the ovum is viable for 24 hrs.
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Basal body temperature method (BBT)
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Temp will drop prior to ovulation; method used to facilitate conception or as a contraceptive; measure temp q day prior to getting out of bed in am; influenced by variables as illness, stress, fatigue, environmental temp, & alcohol
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