100% Solutions (2026/2027) |A+ Graded Guaranteed Pass
How is etonogestrel implant (Nexplanon) used? - Answer --Thin, plastic rod placed SQ in upper
arm
-Releases hormone daily x3y
What is MOA of Nexplanon? - Answer --Suppresses ovulation
-Creates thin, atrophic endometrium
-Thickens cervical mucous making sperm penetration difficult
What is effectiveness of Nexplanon? - Answer -99.9%
What are advantages of Nexplanon? - Answer --After insertion, no additional attention required
-Doesn't interfere w/sex
-Safe for all body wts
-No effect on milk prod.
-Effective x3y
-Quick return of fert.
What are disadvantages of Nexplanon? - Answer --Requires office procedure for insertion
-SE may require removal
1|Page
,What are SE of Nexplanon? - Answer --Amenorrhea
-Irreg. spotting/bleeding
-Heavy bleeding
-Wt changes (gain)
-HA
-Libido loss
-Vag dryness
What are contraind. for Nexplanon? - Answer --Current/past h/o thrombosis/thromboemb.
disorders
-Known/susp. preg.
-Liver tumors (benign or malig.), active liver dz
-Undiagnosed abnorm. vag bleeding
-Known/susp. breast ca, personal h/o breast ca (or other progestin-sensitive ca), now or h/o
-Allergic reaction to any rod components
What are diagnostic studies to be done before implanting Nexplanon? - Answer --Pap if
indicated
-STD screen if indicated
-Preg. test
What is Pt education for Nexplanon? - Answer --SE
-Give pt info card that comes w/device
2|Page
,-If inserted w/in 5d of menses, no backup required
-No STD prevention
What are follow up recomm. for Nexplanon? - Answer --Annual exam
-Remove device if become preg.
What is effectiveness of emerg. contracept.? - Answer -Estimated 85% of women who would
have otherwise become preg.
What is MOA of emerg. contracept.? - Answer --Inhibits/delays ovulation
-May inhibit fertilization/implantation of fertilized egg
What are advant. of emerg. contracept.? - Answer --Backup for barrier method failure, missed
OCPs
-Plan B One Step available OTC
-May use more than once in cycle
-No reports of teratogenic effects when fails
What are disadv. of emerg. contracept.? - Answer --Limited window for use
-Ulipristal acetate requires Rx
-Copper IUD requires office visit to insert
3|Page
, What are SE of emerg. contr.? - Answer --N/V
-Spotting
-HA
-Breast tenderness
What are indications for emerg. contr.? - Answer --Unprotected intercourse w/in past 72-120h
(method-dependent), preg. not desired
What are absolute contraind. for emerg. contr.? - Answer --<6wks postpartum
-H/o or current thrombophleb./thromboemb. disorder (incl PE, thrombogenic mutations)
-BP >160/100
-Mult. risk factors for CAD
-Complex valvular heart dz
-Migraine w/aura
-DM w/end-organ damage
-Known breast ca
-Active liver dz/liver ca
-Pregn (known/susp.)
-Undiagnosed gyn bleeding
-Uncontrolled HTN
-Major surg. w/prolonged immobilization
4|Page