NURS 629 EXAM TWO EXAM SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ Progestin based birth control contraindications/ cautions.
Answer: Breast tenderness, headaches, nausea, weight gain, lower risk
of blood clots, may have more vaginal discharge (alters cervical mucus),
Still risk for thromboembolic disorders. Has to be taken at the same time
every single day.
⩥ Nexplanon Contraindications/ cautions.
Answer: Irregular cycles to no cycles (important to educate patient on
this symptom). Treatment for abnormal bleeding with nexplanon or
mirena is Ibuprofen 600mg q 6 hours as needed, Doxycycline 100mg 1
tab BID for 10 days, Add oral combination contraceptive for 1 cycle,
then removal.
⩥ Depo-Provera contraindications/ cautions.
Answer: weight gain. Associated with increased depression as well as
effects on bone density so patients should take calcium and vitamin D
supplements as well as practice weight bearing exercise.
⩥ Paragard cautions.
Answer: regular cycles, may be heavier then normal
, ⩥ Tubal ligation cautions.
Answer: Must get follow-up ultrasound to ensure scarring of tubes
⩥ What does combination contraception help with.
Answer: acne
⩥ Who would you prescribe progestin based contraception to.
Answer: Safe for women with HTN and age over 35, safe for breast
feeding women, cycles are regular and lighter. Nexplanon good for 3
years.
⩥ Benefits of Depo-Provera.
Answer: every 3 months, irregular cycles to no bleeding
⩥ Who should you prescribe paragard to.
Answer: good for 10 years, Safest for women with hx. of
thromboembolic disorders and estrogen/progestin CA
⩥ Education for patients who use barrier methods for birth control.
Answer: contraceptive sponge- do not use until at least 6 weeks
postpartum and leave in for 6 hours after intercourse, diaphragms or
cervical caps have to be re-fitted at 6-week postpartum exam
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ Progestin based birth control contraindications/ cautions.
Answer: Breast tenderness, headaches, nausea, weight gain, lower risk
of blood clots, may have more vaginal discharge (alters cervical mucus),
Still risk for thromboembolic disorders. Has to be taken at the same time
every single day.
⩥ Nexplanon Contraindications/ cautions.
Answer: Irregular cycles to no cycles (important to educate patient on
this symptom). Treatment for abnormal bleeding with nexplanon or
mirena is Ibuprofen 600mg q 6 hours as needed, Doxycycline 100mg 1
tab BID for 10 days, Add oral combination contraceptive for 1 cycle,
then removal.
⩥ Depo-Provera contraindications/ cautions.
Answer: weight gain. Associated with increased depression as well as
effects on bone density so patients should take calcium and vitamin D
supplements as well as practice weight bearing exercise.
⩥ Paragard cautions.
Answer: regular cycles, may be heavier then normal
, ⩥ Tubal ligation cautions.
Answer: Must get follow-up ultrasound to ensure scarring of tubes
⩥ What does combination contraception help with.
Answer: acne
⩥ Who would you prescribe progestin based contraception to.
Answer: Safe for women with HTN and age over 35, safe for breast
feeding women, cycles are regular and lighter. Nexplanon good for 3
years.
⩥ Benefits of Depo-Provera.
Answer: every 3 months, irregular cycles to no bleeding
⩥ Who should you prescribe paragard to.
Answer: good for 10 years, Safest for women with hx. of
thromboembolic disorders and estrogen/progestin CA
⩥ Education for patients who use barrier methods for birth control.
Answer: contraceptive sponge- do not use until at least 6 weeks
postpartum and leave in for 6 hours after intercourse, diaphragms or
cervical caps have to be re-fitted at 6-week postpartum exam
