NGR6342 EXAM 2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NGR6342 EXAM 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
Typical life span of ovum
Answer:
24-48 hours (typically 24)
- Fertilization must take place within this timeframe.
- This seems like a very short window of time for conception to take place.

Question:
Typical life span of a sperm
Answer:
3-5 days (72-120 hours)
- prior to ovulation it can survive in the female reproductive tract for a few days, so the
few days before ovulation takes place are also considered fertile days

Question:
Rhythm, Natural Family Planning (NFP)
Answer:
A natural method of spacing the birth of children by recognizing the fertile
period. Calendars used to keep records. BBT (dip before ovulation, rise
after) Symptothermal (thermometer) 75-99% effective

Question:
Follicular phase
Answer:
days 1-14 of the ovarian cycle, estrogen early

Question:
Luteal phase
Answer:
period of corpus luteum activity (days 14-28), late phase, progesterone, post ovulation

Question:
Ovulation phase
Answer:
day 14 mid cycle

Question:
symptothermal method of contraception
Answer:
The MOST RELIABLE periodic abstinence method. Combines the cervical mucous and
basal body temperature methods

,Question:
Combined oral contraceptives (COCs)
Answer:
Commonly called birth control pills or "the pill" cocs are a form of contraception that
uses a combination of a synthetic estrogen and a progestin.

Question:
2 Types of IUDs
Answer:
1) Copper (ParaGard):
- The ParaGard IUD doesn't have hormones. It's wrapped in a tiny bit of copper, and it
protects from pregnancy for up to 12 years.
2) Hormonal IUDs: (Mirena, Kyleena, Liletta, and Skyla). IUD uses the hormone
progestin to prevent pregnancy. Progestin is very similar to the hormone progesterone
that our bodies make naturally.

Question:
The "patch" (transdermal) - Ortho Evra Patch Contraindications
Answer:
- Combination estrogen & progesterone
- Contraindications (same as OCs)
- Less effective if over 198 lbs

Question:
What instructions would you give a patient on the placement and changing of a
contraceptive PATCH?
Answer:
- Apply patch to arm, abdomen, buttock, back, rotating to a different place each time it's
applied
- NOT breast, no lotions
- change every 3 weeks with a patch free week

Question:
vaginal ring (NuvaRing) contraindications
Answer:
Similar to OC

Question:
What instructions would you give a patient in regards to the vaginal ring?
Answer:
Begin within 5 days of menses. Back up method x 7 days. Wear 3 weeks on, 1 week off.
May feel vaginal discomfort

Question:
Depo-Provera injection is
Answer:
An IM injection given every 12 weeks (buttocks) 150mg that prevents ovulation

, Question:
Depo-Provera instructions
Answer:
- Always do pregnancy test if >13 weeks between injections
- Do not rub site
- Effectiveness 97-99%
- First injection during first 5 days of menses
- If breast feeding, wait 4-6 weeks PP

Question:
Depo-Provera Black Box Warning
Answer:
- associated w significant loss of Calcium and Vitamin D
- should be used as a long-term birth control no longer than 2 years

Question:
Depo-provera side effects
Answer:
• Spotting/amenorrhea
• Wt. gain, bloating, decreased libido, hair loss, depression, delayed return of fertility
• SERIOUS: chest pain, hemoptysis, ab. pain, SOB
• Long term loss of bone min. density (2 yrs use max)
• CI: PP Depression, vaginal, bleeding, pregnancy

Question:
Implantable (Nexplanon)
Answer:
- Single rod, implantable device
- Inserted subdermally, inner aspect of upper arm
- Effectiveness 99.5%

Question:
Non-contraceptive benefits reduce which cancer?
Answer:
ovarian and endometrial cancers

Question:
Breakthrough bleeding management
Answer:
slight blood loss from the uterus that may occur when a woman is taking oral
contraceptives; pills should be stopped for 3-4 days, then restarted

Question:
What should a patient do if she forgets to take 1 or 2 oral contraceptive pills?
Answer:
Take 2 pills for 2 days