NURS 6552 WOMEN’S HEALTH FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. How does the copper IUD work?
A) Releases estrogen to prevent ovulation
B) Physically blocks sperm from entering the uterus
C) Causes an inflammatory response with spermicidal effect
D) Releases high doses of progesterone
Answer: C
EXPLANATION: The copper IUD creates a local inflammatory reaction that is toxic to sperm, thereby
preventing fertilization.
2. How do levonorgestrel IUDs (LNG IUDs) work?
A) Cause cervical dilation
B) Release low doses of progesterone daily to thicken cervical mucus
C) Block the fallopian tubes
D) Promote endometrial proliferation
Answer: B
EXPLANATION: LNG IUDs continuously release progestin to thicken cervical mucus, making it difficult for
sperm to enter.
3. How long is the copper IUD effective?
A) 3 years
B) 5 years
C) 7 years
D) 10 years
Answer: D
EXPLANATION: Copper IUDs are effective for up to 10 years for pregnancy prevention.
4. When can an IUD be inserted?
A) Only during menstruation
B) Anytime pending a negative pregnancy test
C) 6 weeks postpartum only
D) Only during ovulation
Answer: B
EXPLANATION: IUDs can be inserted at any time in the menstrual cycle as long as pregnancy is
reasonably excluded.
, 5. When can an IUD be placed postpartum?
A) Immediately
B) After 2 weeks
C) After 4 weeks
D) After 6 months
Answer: C
EXPLANATION: Postpartum IUD insertion is typically recommended at 4 weeks or later to reduce
expulsion risk.
6. Which IUD can be used as emergency contraception?
A) Kyleena
B) Mirena
C) Liletta
D) Copper IUD
Answer: D
EXPLANATION: The copper IUD is the most effective form of emergency contraception if inserted within
5 days of unprotected intercourse.
7. Most common side effect of the copper IUD?
A) Amenorrhea
B) Spotting
C) Heavy bleeding and dysmenorrhea
D) Acne
Answer: C
EXPLANATION: The copper IUD often causes longer, heavier periods and increased menstrual cramping.
8. Most common side effect of LNG IUDs?
A) Weight gain
B) Nausea
C) Acne
D) Unscheduled bleeding
Answer: D
EXPLANATION: Irregular spotting and unscheduled bleeding are common especially in the first few
months of use.
9. Which of the following is NOT a side effect of LNG IUDs?
A) Lower abdominal pain
B) Breast tenderness
C) Hypertension
D) Mood changes
Answer: C
EXPLANATION: LNG IUDs may cause abdominal pain, acne, breast tenderness, and mood changes, but
not typically hypertension.
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. How does the copper IUD work?
A) Releases estrogen to prevent ovulation
B) Physically blocks sperm from entering the uterus
C) Causes an inflammatory response with spermicidal effect
D) Releases high doses of progesterone
Answer: C
EXPLANATION: The copper IUD creates a local inflammatory reaction that is toxic to sperm, thereby
preventing fertilization.
2. How do levonorgestrel IUDs (LNG IUDs) work?
A) Cause cervical dilation
B) Release low doses of progesterone daily to thicken cervical mucus
C) Block the fallopian tubes
D) Promote endometrial proliferation
Answer: B
EXPLANATION: LNG IUDs continuously release progestin to thicken cervical mucus, making it difficult for
sperm to enter.
3. How long is the copper IUD effective?
A) 3 years
B) 5 years
C) 7 years
D) 10 years
Answer: D
EXPLANATION: Copper IUDs are effective for up to 10 years for pregnancy prevention.
4. When can an IUD be inserted?
A) Only during menstruation
B) Anytime pending a negative pregnancy test
C) 6 weeks postpartum only
D) Only during ovulation
Answer: B
EXPLANATION: IUDs can be inserted at any time in the menstrual cycle as long as pregnancy is
reasonably excluded.
, 5. When can an IUD be placed postpartum?
A) Immediately
B) After 2 weeks
C) After 4 weeks
D) After 6 months
Answer: C
EXPLANATION: Postpartum IUD insertion is typically recommended at 4 weeks or later to reduce
expulsion risk.
6. Which IUD can be used as emergency contraception?
A) Kyleena
B) Mirena
C) Liletta
D) Copper IUD
Answer: D
EXPLANATION: The copper IUD is the most effective form of emergency contraception if inserted within
5 days of unprotected intercourse.
7. Most common side effect of the copper IUD?
A) Amenorrhea
B) Spotting
C) Heavy bleeding and dysmenorrhea
D) Acne
Answer: C
EXPLANATION: The copper IUD often causes longer, heavier periods and increased menstrual cramping.
8. Most common side effect of LNG IUDs?
A) Weight gain
B) Nausea
C) Acne
D) Unscheduled bleeding
Answer: D
EXPLANATION: Irregular spotting and unscheduled bleeding are common especially in the first few
months of use.
9. Which of the following is NOT a side effect of LNG IUDs?
A) Lower abdominal pain
B) Breast tenderness
C) Hypertension
D) Mood changes
Answer: C
EXPLANATION: LNG IUDs may cause abdominal pain, acne, breast tenderness, and mood changes, but
not typically hypertension.
