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Exam (elaborations)

Mn 576 Contraception Exam Questions With Answers Updated 2024

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Ella - Answer ulipristal acetate - emergency contraception- can be used up to 5 days after unprotected sex Long-acting reversible contraception (LARC) - Answer Intrauterine devices and implant methods of contraception, which last for several years, earn high satisfaction rates and reduce rates of unintended pregnancy and abortion compared to other methods. LARC advantages - Answer - you don't have to think about it for years - is reversible Nexplon - Answer A progestin-only implant good for 3 years. - should be implanted in the first five days of the menstrual cycle if hormonal contraception is not being used - ideally should wait to insert in the 4th month postpartum in breastfeeding women, but if limited contraception access, can insert immediately postpartum. Nexplon advatages - Answer - ease of use, discrete often relieves dysmenorrhea and endometriosis reduces the risk of ectopic pregnancy no estrogen reversible Nexplon disadvantages - Answer has to be removed to become pregnant must be inserted and removed by a properly trained provider does not protect against STDs can still get ovarian cysts 1 in 10 have abnormal bleeding/spotting can get an infection at the insertion site risk of thromboembolic events Nexplanon contraindications - Answer current DVT or PE active viral hepatitis or severe cirrhosis benign or malignant liver tumor undiagnosed vaginal bleeding current or recent (within last five years) breast cancer SLE with positive antiphospholipid antibody intrauterine device (IUD) - Answer small, T-shaped device inserted by a trained practitioner inside the uterus to prevent pregnancy - good for 5-10 years depending on the type Copper IUD (ParaGard) - Answer small, T-shaped device wrapped in copper which acts as a spermicide and inflames the endometrium; 0.8% failure rate -A copper wire wrapped around the device to produce an inflammatory reaction toxic to sperm and eggs -Can remain in place for up to 10-12 years -Can be inserted within five days after unprotected sex -May cause heavier periods and cramping -does not contain hormones so does not have the contraindications hormonal methods have -insertion requires specialized training

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