NSGl 554/l NSG554l Examl 3l –l Nursel
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Contraceptionl methodsl -l types
Answer:
Pills
Patches
Injectables
IUDsl andl Implantsl (Nexplanon)
Emergency
Barrier
Alternates
Q:l Contraindicationsl forl estrogen-progestinl contraceptives
Answer:
Absolute:
Agel 35l orl greaterl andl smokingl 15l orl morel cigarettesl perl day
Lessl thanl 21l daysl postpartum
SBPl 160l orl greaterl orl DBPl 100l orl greater
Current/priorl DVT
Thrombophilial
Long-standing/complicatedl DM
Ischemicl heartl dz
SLE
Migrainel withl aura
Breastl ca
Relative:
Agel 35l orl greaterl andl smokingl lessl thanl 15l cigarettesl perl day
Breastfeeding,l lessl thanl 42l daysl postpartum
,SBPl 140l tol 159l orl DBPl 90l tol 99l (orl well-controlledl onl meds)
Bariatricl surgery
Migrainesl withoutl aural butl 35l yearsl orl greater
Breastl cal hx
Q:l Contraindicationsl forl combinationl patch
Answer:
Womenl withl al BMIl 30l orl greater
Reducedl effectivenessl inl womenl withl al BMIl ofl 25l orl greater
Q:l Contraindicationsl forl progestin-onlyl (pill/depo-provera/implant)
Answer:
Absolute:l
Currentl breastl ca
Relative:
Bariatricl sx
Heartl dz
Stroke
Lupus
Migrainel withl aura
Q:l Indicationsl forl progestin-only
Answer:
Canl bel usedl withl contraindicationsl tol estrogen,l includingl breastfeedingl women
Q:l Indicationsl forl progestinl onlyl withl antiandrogenl andl antimineralocorticoidl effect
Answer:
mayl bel usefull forl PCOSl andl otherl high-androgenl conditions
,Q:l Indicationsl forl IUD
Answer:
Safel andl recommendedl inl nulliparousl women/teenagers
Canl bel insertedl immediatelyl postpartuml orl followingl D&Cl forl miscarriagel orl abortion
Mayl bel usedl asl postcoitall contraceptionl upl tol 5l days
Q:l Contraindicationsl forl levonorgestrell (IUD)
Answer:
Absolute:
Postsepticl abortion
Postpartuml sepsis
Currentl breastl ca
Distortedl uterinel cavity
Relative:
Heartl dz
Lupus
Q:l Contraindicationsl forl IUDl (bothl levol andl copper)l butl dol notl requirel
discontinuation
Answer:
Cervical/endometriall ca
PID
Knownl untreatedl chlamydial orl gonorrheal infx
Q:l Contraindicationsl forl copperl IUDl (ParaGard)
Answer:
Absolute:l samel asl levonorgestrell exceptl isl OKl tol usel inl breastl ca
Relative:l thrombocytopenia,l solidl organl transplant
Q:l Effectivenessl ofl emergencyl contraceptive
, Answer:
Copperl andl levonorgestrel-releasingl IUDl mostl effectivel upl tol 5l daysl afterl intercoursel
(0.04l -l 0.19%)
Ellal nextl (2%)
Levonorgestrell (planl B)l takenl withl 72l hoursl (1.1l -l 2.4%)
Yuzpel andl OTCl regimenl (3.2%)
Q:l Combinationl contraceptives
Answer:
Q:l Progestinl onlyl pills
Answer:
Nol placebol days
MOA:l Inhibitsl ovulationl withl possiblel secondaryl benefitl froml thickeningl ofl cervicall
mucusl andl thinningl ofl endometriall lining
Q:l IUDl (bothl types)l MOA
Answer:
Sterilel inflammatoryl reactionl d/tl foreignl bodyl thatl isl toxicl tol sperml andl ova,l thickensl
cervicall mucus
Q:l Nexplanonl MOA
Answer:
Inhibitsl ovulation
Q:l Estrogen-progestinl sidel effects
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Contraceptionl methodsl -l types
Answer:
Pills
Patches
Injectables
IUDsl andl Implantsl (Nexplanon)
Emergency
Barrier
Alternates
Q:l Contraindicationsl forl estrogen-progestinl contraceptives
Answer:
Absolute:
Agel 35l orl greaterl andl smokingl 15l orl morel cigarettesl perl day
Lessl thanl 21l daysl postpartum
SBPl 160l orl greaterl orl DBPl 100l orl greater
Current/priorl DVT
Thrombophilial
Long-standing/complicatedl DM
Ischemicl heartl dz
SLE
Migrainel withl aura
Breastl ca
Relative:
Agel 35l orl greaterl andl smokingl lessl thanl 15l cigarettesl perl day
Breastfeeding,l lessl thanl 42l daysl postpartum
,SBPl 140l tol 159l orl DBPl 90l tol 99l (orl well-controlledl onl meds)
Bariatricl surgery
Migrainesl withoutl aural butl 35l yearsl orl greater
Breastl cal hx
Q:l Contraindicationsl forl combinationl patch
Answer:
Womenl withl al BMIl 30l orl greater
Reducedl effectivenessl inl womenl withl al BMIl ofl 25l orl greater
Q:l Contraindicationsl forl progestin-onlyl (pill/depo-provera/implant)
Answer:
Absolute:l
Currentl breastl ca
Relative:
Bariatricl sx
Heartl dz
Stroke
Lupus
Migrainel withl aura
Q:l Indicationsl forl progestin-only
Answer:
Canl bel usedl withl contraindicationsl tol estrogen,l includingl breastfeedingl women
Q:l Indicationsl forl progestinl onlyl withl antiandrogenl andl antimineralocorticoidl effect
Answer:
mayl bel usefull forl PCOSl andl otherl high-androgenl conditions
,Q:l Indicationsl forl IUD
Answer:
Safel andl recommendedl inl nulliparousl women/teenagers
Canl bel insertedl immediatelyl postpartuml orl followingl D&Cl forl miscarriagel orl abortion
Mayl bel usedl asl postcoitall contraceptionl upl tol 5l days
Q:l Contraindicationsl forl levonorgestrell (IUD)
Answer:
Absolute:
Postsepticl abortion
Postpartuml sepsis
Currentl breastl ca
Distortedl uterinel cavity
Relative:
Heartl dz
Lupus
Q:l Contraindicationsl forl IUDl (bothl levol andl copper)l butl dol notl requirel
discontinuation
Answer:
Cervical/endometriall ca
PID
Knownl untreatedl chlamydial orl gonorrheal infx
Q:l Contraindicationsl forl copperl IUDl (ParaGard)
Answer:
Absolute:l samel asl levonorgestrell exceptl isl OKl tol usel inl breastl ca
Relative:l thrombocytopenia,l solidl organl transplant
Q:l Effectivenessl ofl emergencyl contraceptive
, Answer:
Copperl andl levonorgestrel-releasingl IUDl mostl effectivel upl tol 5l daysl afterl intercoursel
(0.04l -l 0.19%)
Ellal nextl (2%)
Levonorgestrell (planl B)l takenl withl 72l hoursl (1.1l -l 2.4%)
Yuzpel andl OTCl regimenl (3.2%)
Q:l Combinationl contraceptives
Answer:
Q:l Progestinl onlyl pills
Answer:
Nol placebol days
MOA:l Inhibitsl ovulationl withl possiblel secondaryl benefitl froml thickeningl ofl cervicall
mucusl andl thinningl ofl endometriall lining
Q:l IUDl (bothl types)l MOA
Answer:
Sterilel inflammatoryl reactionl d/tl foreignl bodyl thatl isl toxicl tol sperml andl ova,l thickensl
cervicall mucus
Q:l Nexplanonl MOA
Answer:
Inhibitsl ovulation
Q:l Estrogen-progestinl sidel effects
