MVU NURS620 EXAM 2 QUESTIONS AND
CORRECT DETAILED ANSWERS
3 Month Oral Pill
•Combination estrogen/progestin
•Take 11 weeks of active pills, 1 week of sugar
pills -Cycle every 3 months
-Same missed pill scheduling
-Same risk profile
-Benefit of decreased cycles
•Good for women who have dysmenorrhea or menorrhagia
Patch or vaginal ring
•Same hormones, action, risks, contraindications, benefits
•Ortho Evra (patch) changed weekly on the same day of the week x 3 weeks; then a patch-free
week
•Must weigh under 198 lb. to be a candidate
•Nuva Ring is inserted into vagina for 3 weeks, removed for one week
Progestin-only (Mini) Pill
•Use if estrogen is contraindicated
•Use if woman is breastfeeding
•Side effect - irregular vaginal bleeding, poor cycle control
Injectable Progestin Depo Provera
,•Depo Provera 150 mg given IM every 12 weeks
•Given in deltoid or more commonly gluteus
maximus
•Disadvantages - prolonged bleeding or amenorrhea, weight gain, hair loss, ↑ calcium
loss •No protection from STIs
Implantable Progestin Nexplanon
•Single capsule placed in upper arm
•Remove after 3 years
•Contraindications - pregnancy, DVTs, liver disease, breast cancer, unexplained bleeding
•Side effects - irregular bleeding, mood swings, weight gain, acne, depression, headache,
breast pain
Emergency Contraception (EC)
•Preven or Plan B
•Plan B - OTC; a prescription is needed for women younger than 17
•Given within 72 hours of unprotected intercourse; most effective within 24
hours •75 - 95% effective
•One dose
•Side effects - n/v, HA, bleeding (spotting, next menses may be heavier or lighter/earlier or
later)
•No adverse effects to pregnancy if EC fails
IUD
•Small, T-shaped device implanted in the uterus that damages sperm in transit and
prevents implantation
•Paraguard Copper T380A for 10 years (non hormonal)
•Mirena (levonorgestrel) for 5 years
•Contraindicated if history of PID, risk of STIs, pregnancy, undiagnosed bleeding
•Best for woman who has had at least one full-term pregnancy in stable,
monogamous relationship
, Sterilization
•Male sterilization consists of vasectomy
-Not considered sterile until two sperm-free ejaculations
-Complications: hematoma, sperm granuloma, and spontaneous reanastomosis
•Female sterilization
•Essure or tubal ligation
-Complications: hemorrhage, puncture, and cautery of the bowel (0.6%)
initial eval with gyno issues
•Medical history
•Obstetric and GYN history
•Women's physical exam
•VS, WT/HT
•Breast, thyroid, abdominal, and genital area
•Pap smear (if indicated)
•Wet mount
•GC/chlamydia DNA probe test
Vulvovagintiis
•Inflammation of the vulva and vagina
•Vaginal itching, burning, and vaginal discharge
•Result of infection
•Noninfectious causes include allergic reactions, foreign body, atrophic or traumatic
vaginitis, or collagen vascular disease
•Bacterial vaginosis
•Vulvovaginal candidiasis
•Trichomoniasis
CORRECT DETAILED ANSWERS
3 Month Oral Pill
•Combination estrogen/progestin
•Take 11 weeks of active pills, 1 week of sugar
pills -Cycle every 3 months
-Same missed pill scheduling
-Same risk profile
-Benefit of decreased cycles
•Good for women who have dysmenorrhea or menorrhagia
Patch or vaginal ring
•Same hormones, action, risks, contraindications, benefits
•Ortho Evra (patch) changed weekly on the same day of the week x 3 weeks; then a patch-free
week
•Must weigh under 198 lb. to be a candidate
•Nuva Ring is inserted into vagina for 3 weeks, removed for one week
Progestin-only (Mini) Pill
•Use if estrogen is contraindicated
•Use if woman is breastfeeding
•Side effect - irregular vaginal bleeding, poor cycle control
Injectable Progestin Depo Provera
,•Depo Provera 150 mg given IM every 12 weeks
•Given in deltoid or more commonly gluteus
maximus
•Disadvantages - prolonged bleeding or amenorrhea, weight gain, hair loss, ↑ calcium
loss •No protection from STIs
Implantable Progestin Nexplanon
•Single capsule placed in upper arm
•Remove after 3 years
•Contraindications - pregnancy, DVTs, liver disease, breast cancer, unexplained bleeding
•Side effects - irregular bleeding, mood swings, weight gain, acne, depression, headache,
breast pain
Emergency Contraception (EC)
•Preven or Plan B
•Plan B - OTC; a prescription is needed for women younger than 17
•Given within 72 hours of unprotected intercourse; most effective within 24
hours •75 - 95% effective
•One dose
•Side effects - n/v, HA, bleeding (spotting, next menses may be heavier or lighter/earlier or
later)
•No adverse effects to pregnancy if EC fails
IUD
•Small, T-shaped device implanted in the uterus that damages sperm in transit and
prevents implantation
•Paraguard Copper T380A for 10 years (non hormonal)
•Mirena (levonorgestrel) for 5 years
•Contraindicated if history of PID, risk of STIs, pregnancy, undiagnosed bleeding
•Best for woman who has had at least one full-term pregnancy in stable,
monogamous relationship
, Sterilization
•Male sterilization consists of vasectomy
-Not considered sterile until two sperm-free ejaculations
-Complications: hematoma, sperm granuloma, and spontaneous reanastomosis
•Female sterilization
•Essure or tubal ligation
-Complications: hemorrhage, puncture, and cautery of the bowel (0.6%)
initial eval with gyno issues
•Medical history
•Obstetric and GYN history
•Women's physical exam
•VS, WT/HT
•Breast, thyroid, abdominal, and genital area
•Pap smear (if indicated)
•Wet mount
•GC/chlamydia DNA probe test
Vulvovagintiis
•Inflammation of the vulva and vagina
•Vaginal itching, burning, and vaginal discharge
•Result of infection
•Noninfectious causes include allergic reactions, foreign body, atrophic or traumatic
vaginitis, or collagen vascular disease
•Bacterial vaginosis
•Vulvovaginal candidiasis
•Trichomoniasis
