NUR 622 (Adult_Gero Acute) MOD #9, contraception, rectal disorders, osteoporosis, violence
Questions with CORRECT Answers (Grade A+)
Question 1:
how to estrogen/progesterone OCP's work essentially?
Answer:
prevent ovaries from releasing eggs by inhibiting LH and FSH from anterior pituitary
Question 2:
when is an estrogen based OCP contraindicated?
Answer:
-migraines with aura -uncontrolled HTN -smoking over 35 (DVT risk)
Question 3:
oral OCP that thickens cervical mucus, preventing ovulation -for patients who can't take estrogen
-ideal for age 35+ who smoke, patients with clot risk, migraines -less CV side effects than combined
pills -C/I in breast CA -taken every day **higher risk for ectopic pregnancy
Answer:
Progesterone OCP's (ex. Norethindrone 0.35mg)
Question 4:
again, for women over age 35 who smoke, clotting risk, or migraines, avoid
Answer:
OCP's with estrogen
Question 5:
C/I for progesterone OCP's
Answer:
-breast CA -patients with heart disease or stroke history
Question 6:
benefits for progesterone OCP's
Answer:
, -better for breastfeeding mothers, doesn't interfere with milk supply
Question 7:
combined OCP's that contain same of amount of estrogen and progesterone in each pill -first line
for patients taking OCP's for first time -comes in 21 days, then 7 days off for menses OR -21 days,
followed by 7 days placebo pills (helps with adherence) **can help with acne or hirsutism
Answer:
monophasic OCP's (Loestrin, Microgestin, Aviane)
Question 8:
combined OCP's that keep the estrogen constant, but progestin dose increases in second half of
cycle to mimic menstruation -may reduce side effects, but less leeway for missed doses
Answer:
biphasic OCP's (Mircette, Necon)
Question 9:
combined OCP's that change estrogen and progestin levels every 7 days
Answer:
triphasic OCP's (Estrostep, Triphasil 28)
Question 10:
combined OCP's should be started:
Answer:
-first day of cycle -first Sunday of onset of cycle **if started after 5 days of onset of cycle, backup
method should be used for 7 days
Question 11:
if you miss a combined OCP dose with no sex in past 5 days, what do you do
Answer:
take two pills, use backup method for 7 days
Question 12:
if you miss a combined OCP dose with sex in previous days, use
Questions with CORRECT Answers (Grade A+)
Question 1:
how to estrogen/progesterone OCP's work essentially?
Answer:
prevent ovaries from releasing eggs by inhibiting LH and FSH from anterior pituitary
Question 2:
when is an estrogen based OCP contraindicated?
Answer:
-migraines with aura -uncontrolled HTN -smoking over 35 (DVT risk)
Question 3:
oral OCP that thickens cervical mucus, preventing ovulation -for patients who can't take estrogen
-ideal for age 35+ who smoke, patients with clot risk, migraines -less CV side effects than combined
pills -C/I in breast CA -taken every day **higher risk for ectopic pregnancy
Answer:
Progesterone OCP's (ex. Norethindrone 0.35mg)
Question 4:
again, for women over age 35 who smoke, clotting risk, or migraines, avoid
Answer:
OCP's with estrogen
Question 5:
C/I for progesterone OCP's
Answer:
-breast CA -patients with heart disease or stroke history
Question 6:
benefits for progesterone OCP's
Answer:
, -better for breastfeeding mothers, doesn't interfere with milk supply
Question 7:
combined OCP's that contain same of amount of estrogen and progesterone in each pill -first line
for patients taking OCP's for first time -comes in 21 days, then 7 days off for menses OR -21 days,
followed by 7 days placebo pills (helps with adherence) **can help with acne or hirsutism
Answer:
monophasic OCP's (Loestrin, Microgestin, Aviane)
Question 8:
combined OCP's that keep the estrogen constant, but progestin dose increases in second half of
cycle to mimic menstruation -may reduce side effects, but less leeway for missed doses
Answer:
biphasic OCP's (Mircette, Necon)
Question 9:
combined OCP's that change estrogen and progestin levels every 7 days
Answer:
triphasic OCP's (Estrostep, Triphasil 28)
Question 10:
combined OCP's should be started:
Answer:
-first day of cycle -first Sunday of onset of cycle **if started after 5 days of onset of cycle, backup
method should be used for 7 days
Question 11:
if you miss a combined OCP dose with no sex in past 5 days, what do you do
Answer:
take two pills, use backup method for 7 days
Question 12:
if you miss a combined OCP dose with sex in previous days, use
