NRNP 6552 Women Health Final Exam
2024 update| 1. Sheila is pregnant and
fearful of getting cervical cancer as her
sister recently did. She asks about receiving
the HPV vaccine.
How does copper IUD work?
Causes an inflammatory response with spermacidal response
How do levonorgestrel IUDs work?
Release low doses of progesterone daily to thicken cervical mucus
How long is the copper IUD good for?
10 years
When can an IUD be inserted?
At anytime pending negative pregnancy test
When can an IUD be placed postpartum?
4 weeks
What IUD can be used for emergency contraception?
Copper IUD
Most common side effects of copper IUD?
Prolonged heavy bleeding and dysmenorrhea
Most common side effect of LNG IUDs?
Unscheduled bleeding
Other side effects of LNG IUD?
Lower abdominal pain
Acne
Back pain
Breast tenderness
Headaches
Mood changes
Nausea
Which device is approved for menorrhagia?
Mirena
, When does ovulation return following Nexplanon removal?
6 weeks
Side effects of Nexplanon?
Irregular bleeding and amenorrhea
Primary reason for removal of Nexplanon?
Irregular bleeding
Define tubal occlusion
Female sterilization in which the fallopian tubes are permanently blocked, which prevents sperm
from ascending the reproductive tract and fertilizing an ovum
Risk related to tubal occlusion
Ectopic pregnancy
Define vasectomy
Cutting or blocking of both vas deferens which are the small tubes that carry sperm from the testes
to become part of the seminal fluid
Benefit of combined oral contraceptives vs. progestin only
More predictable bleeding patterns due to stabilization of the endometrium with estrogen
Types of combined oral contraceptives
Oral
Patch
Ring
Types of progestin only contraceptives
IUD
Implant (Nexplanon)
Oral (POP, mini-pills)
Injection (Depo)
Long term combined oral contraceptive use increases the risk for
Cervical cancer- this risk reduces following cessation
When can combined contraceptives be started in postpartum women?
21 day postpartum due to risk for VTE
What is quick start for COCs?
Beginning the pill at any time during the menstrual cycle and using another form of contraception
for 7 days
Contraindications to combined oral contraceptives
2024 update| 1. Sheila is pregnant and
fearful of getting cervical cancer as her
sister recently did. She asks about receiving
the HPV vaccine.
How does copper IUD work?
Causes an inflammatory response with spermacidal response
How do levonorgestrel IUDs work?
Release low doses of progesterone daily to thicken cervical mucus
How long is the copper IUD good for?
10 years
When can an IUD be inserted?
At anytime pending negative pregnancy test
When can an IUD be placed postpartum?
4 weeks
What IUD can be used for emergency contraception?
Copper IUD
Most common side effects of copper IUD?
Prolonged heavy bleeding and dysmenorrhea
Most common side effect of LNG IUDs?
Unscheduled bleeding
Other side effects of LNG IUD?
Lower abdominal pain
Acne
Back pain
Breast tenderness
Headaches
Mood changes
Nausea
Which device is approved for menorrhagia?
Mirena
, When does ovulation return following Nexplanon removal?
6 weeks
Side effects of Nexplanon?
Irregular bleeding and amenorrhea
Primary reason for removal of Nexplanon?
Irregular bleeding
Define tubal occlusion
Female sterilization in which the fallopian tubes are permanently blocked, which prevents sperm
from ascending the reproductive tract and fertilizing an ovum
Risk related to tubal occlusion
Ectopic pregnancy
Define vasectomy
Cutting or blocking of both vas deferens which are the small tubes that carry sperm from the testes
to become part of the seminal fluid
Benefit of combined oral contraceptives vs. progestin only
More predictable bleeding patterns due to stabilization of the endometrium with estrogen
Types of combined oral contraceptives
Oral
Patch
Ring
Types of progestin only contraceptives
IUD
Implant (Nexplanon)
Oral (POP, mini-pills)
Injection (Depo)
Long term combined oral contraceptive use increases the risk for
Cervical cancer- this risk reduces following cessation
When can combined contraceptives be started in postpartum women?
21 day postpartum due to risk for VTE
What is quick start for COCs?
Beginning the pill at any time during the menstrual cycle and using another form of contraception
for 7 days
Contraindications to combined oral contraceptives
