NU664 Exam 1 UPDATED ACTUAL Questions and
CORRECT Answers | 100% Verified | 2026
• Influenza symptoms -✓✓ fever, couch, myalgia (malaise, sore throat, nausea,
nasal congestion, headache)
• Influenza Management -✓✓ meds to improve comfort (Tylenol/Ibuprofen other
OTC)
+
Oseltamivir 75mg PO BID x 5 days
• Medication not to take with influenza -✓✓ Salicylates (Aspirin) = Reyes
Syndrome
• Flu vaccine recommendations in pregnancy -✓✓ pregnant patients should get the
flu shot during any trimester
NO nasal spray flu
• Benefit of flu shot during pregnancy -✓✓ prevent hospitalization, protect baby
from flu for several months after birth
• Influenza treatment in pregnancy -✓✓ prompt empiric treatment with antiviral
medication (Oseltamivir 75mg PO BID x 5 days)
greatest benefit within 48 hours of symptoms
,• Which birth control methods have estrogen and progesterone -✓✓ Combination
pills, Patch (Ortho Vera) Ring (NuvaRing)
• How do combination pills work -✓✓ inhibit ovulation, decrease ovum transport,
early luteolysis, thicken cervical mucous, alter endometrium (thin)
• Dose range for combination pills -✓✓ 10mcg-20mcg
• When would you increase the dose of a combination pill -✓✓ irregular bleeding
• When should you start a combination pill -✓✓ first day of menses or first Sunday
after menses occur (helps prevent their cycle during the weekend)
• Failure of combination birth control -✓✓ Typical 9%, perfect 0.1%
• Advantages of combination pills -✓✓ cycle control
reduce dysmenorrhea, ovarian cysts, anemia, PMDD, mittelschmerz (pain with
ovulation), acne, hirsutism, PID, pain from endometriosis
prevents ovarian, endometrial & breast cancer
improves bone mineral density
reduced menstrual bone loss by 60% -- prevents iron deficiency anemia
,• Disadvantages of combination pills -✓✓ expense, daily dosing, break through
bleeding, glucose intolerance, gall bladder disease
• Side effects of combination pills -✓✓ break through bleeding, N/B, HA, breast
tenderness, mood changes (depression)
• Major complications of combination pills -✓✓ thrombophlebitis, PE, CVC,
cancer, hepatocellular adenoma
• Drug-drug interactions wit combination pills -✓✓ rifampin, vit C, anti-
convulsants, St. John's wort
• Patient on antibiotics for strep throat/sinusitis need to make what change when
taking combination birth control pills -✓✓ use condoms during antibiotic use and
through one week post-treatment
• What are the emergency warning signs of a blood clot related to combination
pills -✓✓ ACHES - abdominal pain, chest pain, HA, eye or visual changes,
swelling
• Patient teaching for combination pills -✓✓ continue condom use for STI
prevention
• If someone experiences a symptoms of ACHES they should -✓✓ go to the
emergency room and do no take the pill
• When will FU be after starting combination birth control -✓✓ 3-6 months
, • What should someone do if they miss a combination pill by less than 12 hours/1
dose -✓✓ take the pill immediately, no additional or emergency contraception
needed, continue rest of the pack
• what should someone do if they miss more than 1 combination pill -✓✓ take
today's pill and forgotten pill (2 pills in 1 day) if there are at least seven active pills
in the pack
• When does someone with a missed combination pill need emergency
contraception -✓✓ - if there was intercourse within 7 days of two missed pills
-until 7 active pills have been taken (may skip placebo or continue normal course
after a missed dose)
-if 2 or more active pills missed in a row
• Who are good candidates for combination pills -✓✓ dysmenorrhea
mittelschmerz
endometriosis
acne/hirsutism
perimenopausal bleeding
ovarian cysts (monophasic pills best)
FH ovarian cancer
menstrual migraine (without an aura)
• Who is not a good candidate for combination pills -✓✓ active thombophlebitis or
venous thromboembolic disorder
CORRECT Answers | 100% Verified | 2026
• Influenza symptoms -✓✓ fever, couch, myalgia (malaise, sore throat, nausea,
nasal congestion, headache)
• Influenza Management -✓✓ meds to improve comfort (Tylenol/Ibuprofen other
OTC)
+
Oseltamivir 75mg PO BID x 5 days
• Medication not to take with influenza -✓✓ Salicylates (Aspirin) = Reyes
Syndrome
• Flu vaccine recommendations in pregnancy -✓✓ pregnant patients should get the
flu shot during any trimester
NO nasal spray flu
• Benefit of flu shot during pregnancy -✓✓ prevent hospitalization, protect baby
from flu for several months after birth
• Influenza treatment in pregnancy -✓✓ prompt empiric treatment with antiviral
medication (Oseltamivir 75mg PO BID x 5 days)
greatest benefit within 48 hours of symptoms
,• Which birth control methods have estrogen and progesterone -✓✓ Combination
pills, Patch (Ortho Vera) Ring (NuvaRing)
• How do combination pills work -✓✓ inhibit ovulation, decrease ovum transport,
early luteolysis, thicken cervical mucous, alter endometrium (thin)
• Dose range for combination pills -✓✓ 10mcg-20mcg
• When would you increase the dose of a combination pill -✓✓ irregular bleeding
• When should you start a combination pill -✓✓ first day of menses or first Sunday
after menses occur (helps prevent their cycle during the weekend)
• Failure of combination birth control -✓✓ Typical 9%, perfect 0.1%
• Advantages of combination pills -✓✓ cycle control
reduce dysmenorrhea, ovarian cysts, anemia, PMDD, mittelschmerz (pain with
ovulation), acne, hirsutism, PID, pain from endometriosis
prevents ovarian, endometrial & breast cancer
improves bone mineral density
reduced menstrual bone loss by 60% -- prevents iron deficiency anemia
,• Disadvantages of combination pills -✓✓ expense, daily dosing, break through
bleeding, glucose intolerance, gall bladder disease
• Side effects of combination pills -✓✓ break through bleeding, N/B, HA, breast
tenderness, mood changes (depression)
• Major complications of combination pills -✓✓ thrombophlebitis, PE, CVC,
cancer, hepatocellular adenoma
• Drug-drug interactions wit combination pills -✓✓ rifampin, vit C, anti-
convulsants, St. John's wort
• Patient on antibiotics for strep throat/sinusitis need to make what change when
taking combination birth control pills -✓✓ use condoms during antibiotic use and
through one week post-treatment
• What are the emergency warning signs of a blood clot related to combination
pills -✓✓ ACHES - abdominal pain, chest pain, HA, eye or visual changes,
swelling
• Patient teaching for combination pills -✓✓ continue condom use for STI
prevention
• If someone experiences a symptoms of ACHES they should -✓✓ go to the
emergency room and do no take the pill
• When will FU be after starting combination birth control -✓✓ 3-6 months
, • What should someone do if they miss a combination pill by less than 12 hours/1
dose -✓✓ take the pill immediately, no additional or emergency contraception
needed, continue rest of the pack
• what should someone do if they miss more than 1 combination pill -✓✓ take
today's pill and forgotten pill (2 pills in 1 day) if there are at least seven active pills
in the pack
• When does someone with a missed combination pill need emergency
contraception -✓✓ - if there was intercourse within 7 days of two missed pills
-until 7 active pills have been taken (may skip placebo or continue normal course
after a missed dose)
-if 2 or more active pills missed in a row
• Who are good candidates for combination pills -✓✓ dysmenorrhea
mittelschmerz
endometriosis
acne/hirsutism
perimenopausal bleeding
ovarian cysts (monophasic pills best)
FH ovarian cancer
menstrual migraine (without an aura)
• Who is not a good candidate for combination pills -✓✓ active thombophlebitis or
venous thromboembolic disorder
