BECKMANN AND LINGS OBSTETRICS
AND GYNECOLOGY 8TH EDITION
ROBERT CASANOVA ACTUAL PAPER
SOLVED QUESTIONS
◉ Sperm route to fertilization
Answer: Vagina → cervix → uterus → fallopian tube; fertilization
usually occurs in the fallopian tube.
◉ Implantation
Answer: Usually occurs about 6-10 days after fertilization,
normally in the uterus.
◉ Germinal stage
Answer: 0-2 weeks of development.
◉ Embryonic stage
Answer: 3-8 weeks of development.
◉ Fetal stage
Answer: 9 weeks to birth.
◉ Quickening
,Answer: Maternal perception of fetal movement, usually around
16-20 weeks.
◉ Diaphragm: 6-6-24 rule
Answer: May be inserted up to 6 hours before intercourse, must
remain in at least 6 hours after, and should not remain in longer
than 24 hours total.
◉ Diaphragm teaching
Answer: Use spermicide, empty bladder before insertion, replace
about every 2 years, refit after about a 20% weight change, and
inspect for pinholes.
◉ IUD effectiveness
Answer: Highly effective nonpermanent contraception; about
99% effective.
◉ Copper ParaGard IUD
Answer: Copper IUD; study guide lists protection for about 10
years.
◉ Mirena LNG-IUS
Answer: Hormonal IUD; study guide lists protection for about 5
years.
, ◉ Skyla IUD
Answer: Hormonal IUD; study guide lists protection for about 3
years.
◉ IUD displacement check
Answer: Check the IUD strings for change in location/length or
inability to feel them.
◉ IUD disadvantages
Answer: Does not protect from STIs; slides list
increased/intermenstrual bleeding and PID risk.
◉ Combined oral contraceptive (COC)
Answer: Contains estrogen + progestin.
◉ COC contraindications
Answer: Pregnancy, prior thromboembolic disease/DVT, heavy
smoking, hypertension, migraine with visual disturbances,
cholecystitis, diabetes, and severe depression per course slides.
◉ Serious COC complication
Answer: Pulmonary embolism.
◉ Medications that may reduce COC effectiveness
AND GYNECOLOGY 8TH EDITION
ROBERT CASANOVA ACTUAL PAPER
SOLVED QUESTIONS
◉ Sperm route to fertilization
Answer: Vagina → cervix → uterus → fallopian tube; fertilization
usually occurs in the fallopian tube.
◉ Implantation
Answer: Usually occurs about 6-10 days after fertilization,
normally in the uterus.
◉ Germinal stage
Answer: 0-2 weeks of development.
◉ Embryonic stage
Answer: 3-8 weeks of development.
◉ Fetal stage
Answer: 9 weeks to birth.
◉ Quickening
,Answer: Maternal perception of fetal movement, usually around
16-20 weeks.
◉ Diaphragm: 6-6-24 rule
Answer: May be inserted up to 6 hours before intercourse, must
remain in at least 6 hours after, and should not remain in longer
than 24 hours total.
◉ Diaphragm teaching
Answer: Use spermicide, empty bladder before insertion, replace
about every 2 years, refit after about a 20% weight change, and
inspect for pinholes.
◉ IUD effectiveness
Answer: Highly effective nonpermanent contraception; about
99% effective.
◉ Copper ParaGard IUD
Answer: Copper IUD; study guide lists protection for about 10
years.
◉ Mirena LNG-IUS
Answer: Hormonal IUD; study guide lists protection for about 5
years.
, ◉ Skyla IUD
Answer: Hormonal IUD; study guide lists protection for about 3
years.
◉ IUD displacement check
Answer: Check the IUD strings for change in location/length or
inability to feel them.
◉ IUD disadvantages
Answer: Does not protect from STIs; slides list
increased/intermenstrual bleeding and PID risk.
◉ Combined oral contraceptive (COC)
Answer: Contains estrogen + progestin.
◉ COC contraindications
Answer: Pregnancy, prior thromboembolic disease/DVT, heavy
smoking, hypertension, migraine with visual disturbances,
cholecystitis, diabetes, and severe depression per course slides.
◉ Serious COC complication
Answer: Pulmonary embolism.
◉ Medications that may reduce COC effectiveness
