NU664D EXAM 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Women who are breastfeeding <21 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 21-30 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 31-42 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Can use CHC if no risk factors for VTE, although least recommended
What forms of contraception should breastfeeding women NEVER use - CORRECT
ANSWER - IUD (both types)
CHC is the least recommended but can be used >30 days PP depending on risk factors for VTE
LNG IUD TYPES and their expiration - CORRECT ANSWER - Mirena or Liletta: 52 mg:
8 years
Kyleena: 19.5 mg: 5 years
Sklya: 13.5 mg: 3 years
,LNG IUD MOA - CORRECT ANSWER - 1. Thickens cervical mucus
2. Produces atrophic endometrium
3. Slows ovum transport through tube
3. Inhibits sperm motility and function
4. foreign body placement triggers immune response and creates cytotoxic environment that
sperm cannot survive in
LNG-IUD contraindications - CORRECT ANSWER - IUD in general
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
LNG IUD
-hx of or current breast cancer
-severe cirrhosis
-SLE
LNG IUD side effects - CORRECT ANSWER - -acne
-weight gain
-headaches
-menstrual irregularities: may have cramping, increased bleeding/spotting within first 3 months
after insertion
-oligomenorrhea or amenorrhea (typically later, months after use)
-nausea
-hirsutism
, -mood changes
perfect use - CORRECT ANSWER - the ability of a method of contraception to prevent
pregnancy as measured by consistent and correct use
typical use - CORRECT ANSWER - The ability of a method of contraception to prevent
pregnancy as actually used at home by people not being monitored
copper IUD MOA - CORRECT ANSWER - -IUD placement (foreign body) leads to
inflammatory process that is toxic to sperm
-copper enhances the cytotoxic environment for sperm to live in
-impaired sperm viability, migration
copper IUD contraindications - CORRECT ANSWER - IUD in general
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
COPPER
-severe thrombocytopenia
LNG-IUD advantages - CORRECT ANSWER - - decreased ectopic risk
- decreased endometriosis pain
-decreased dysmenorrhea
-long lasting
Exam Questions and CORRECT Answers
Women who are breastfeeding <21 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 21-30 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 31-42 days pp can use which form(s) of contraception? -
CORRECT ANSWER - Progestin only pill
DMPA
Nexplanon
Can use CHC if no risk factors for VTE, although least recommended
What forms of contraception should breastfeeding women NEVER use - CORRECT
ANSWER - IUD (both types)
CHC is the least recommended but can be used >30 days PP depending on risk factors for VTE
LNG IUD TYPES and their expiration - CORRECT ANSWER - Mirena or Liletta: 52 mg:
8 years
Kyleena: 19.5 mg: 5 years
Sklya: 13.5 mg: 3 years
,LNG IUD MOA - CORRECT ANSWER - 1. Thickens cervical mucus
2. Produces atrophic endometrium
3. Slows ovum transport through tube
3. Inhibits sperm motility and function
4. foreign body placement triggers immune response and creates cytotoxic environment that
sperm cannot survive in
LNG-IUD contraindications - CORRECT ANSWER - IUD in general
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
LNG IUD
-hx of or current breast cancer
-severe cirrhosis
-SLE
LNG IUD side effects - CORRECT ANSWER - -acne
-weight gain
-headaches
-menstrual irregularities: may have cramping, increased bleeding/spotting within first 3 months
after insertion
-oligomenorrhea or amenorrhea (typically later, months after use)
-nausea
-hirsutism
, -mood changes
perfect use - CORRECT ANSWER - the ability of a method of contraception to prevent
pregnancy as measured by consistent and correct use
typical use - CORRECT ANSWER - The ability of a method of contraception to prevent
pregnancy as actually used at home by people not being monitored
copper IUD MOA - CORRECT ANSWER - -IUD placement (foreign body) leads to
inflammatory process that is toxic to sperm
-copper enhances the cytotoxic environment for sperm to live in
-impaired sperm viability, migration
copper IUD contraindications - CORRECT ANSWER - IUD in general
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
COPPER
-severe thrombocytopenia
LNG-IUD advantages - CORRECT ANSWER - - decreased ectopic risk
- decreased endometriosis pain
-decreased dysmenorrhea
-long lasting
