Question

1. How did the Affordable Care Act change access to contraception?

2. What assessments are indicated before use of peridural anesthesia for patients in labor?

3. What does the rising number of premature births means for nurses of neonates?

4. What is the impact on quality of life from benign prostatic hyperplasia? What are some contraindications to use of drugs for erectile dysfunction? What are the indications for androgens anti androgens? What are the contraindications?

Answer 1

1.The inclusion of contraceptives for female in the ACA has brought a greater change and support in women's life. It has reduced the unnecessary out of pocket expenses ,enhanced the quality of life in women to support and care for their families ,mage them financially independent and stronger. It has made nearly 18 contraception method available and accessible to women. Hence the accessibility of contraceptives has been made possible with ACA.

2.The assessment needed before use of peridural anesthesia are

• Vital signs recording of blood pressure reading because this can cause hypotension
• Assess for any neurological problems, problems in the spinal cord
• Allergic status of any drugs
• Weight of the patient
• Antibiotics cardiovascular and respiratory illness
• Monitoring for blood glucose, albumin ,wbc ,rbc, platelets and coagulation profile.

3.The rising number of premature birth for nurses of neonates means

• The unhealthy antenatal period from conception to delivery
• Lifestyle of mother
• Increase in the neonatal admission and increase work load .Which can lead to physical stress and mental stress

4.The impact of quality of life in BPH has a major effect of reducing ones sexual functions .As a result can lead to psychological disturbances.

The use of drugs for erectile dysfunction is contraindicated in patient who has cardiovascular disease , cancer ,neurological disorder ,etc. ,

The indication for prescribing antiandrogens are

• Prostate cancer
• Allopecia
• Priapism
• Ovarian tumor
• Adrenal tumor
• Morning erection

It is contraindicated in the following cases

• Hypersensitivity
• Allergies
• Liver insufficiency