NCC WHNP REVIEW QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Advantages of the cervicalcap vs. the diaphragm include which of the followng?
a. Lower failure rate
b. Easier to insert
c. Can remain in place for 48 hrs
d. Spermicide is not needed - ANSWER c. It can remain in place for 48 hrs
Diaphragm should not be left in place for more than 24 hrs. Cervical cap can be left in for up to 48 hrs.
Which of the following actions does the estrogen in COCs include?
a. Inhibits ovulation through suppresion of the LH surge
b. Inhibits sperm penetration by thickening the cervical mucus
c. Provides most of the contraceptive benefit of COCs
d. Stabilizes the endometrium for less unscheduled bleeding - ANSWER d. Stabilizes the endometrium for
less unscheduled bleeding
Estrogen in COcs stabilizes the endometrium, contributes to inhibition of ovulation through suppressio
nof FSH. However, mostly potentiates the action of progestin which has the most contraceptive effect.
People who take ospemifine for tx of dyspareunia related to vulvovaginal atrophy should be advised that
they:
a. Will need to take progesterone in addition to prevent endometrial hyperplasia
b. May also need vaginal estrogen to enhance the meds effect
c. May experience vasosmotor sx as a side effect of this medication
d. Should take this med 2-3 hr before having sexual intercourse - ANSWER c. May experience vasosmotor
sx as a side effect of this medication
ANSWERS WITH SOLUTIONS 2024
Advantages of the cervicalcap vs. the diaphragm include which of the followng?
a. Lower failure rate
b. Easier to insert
c. Can remain in place for 48 hrs
d. Spermicide is not needed - ANSWER c. It can remain in place for 48 hrs
Diaphragm should not be left in place for more than 24 hrs. Cervical cap can be left in for up to 48 hrs.
Which of the following actions does the estrogen in COCs include?
a. Inhibits ovulation through suppresion of the LH surge
b. Inhibits sperm penetration by thickening the cervical mucus
c. Provides most of the contraceptive benefit of COCs
d. Stabilizes the endometrium for less unscheduled bleeding - ANSWER d. Stabilizes the endometrium for
less unscheduled bleeding
Estrogen in COcs stabilizes the endometrium, contributes to inhibition of ovulation through suppressio
nof FSH. However, mostly potentiates the action of progestin which has the most contraceptive effect.
People who take ospemifine for tx of dyspareunia related to vulvovaginal atrophy should be advised that
they:
a. Will need to take progesterone in addition to prevent endometrial hyperplasia
b. May also need vaginal estrogen to enhance the meds effect
c. May experience vasosmotor sx as a side effect of this medication
d. Should take this med 2-3 hr before having sexual intercourse - ANSWER c. May experience vasosmotor
sx as a side effect of this medication
