CMN 572 Final Exam – Questions & A+ Solutions
It is at this location, where squamous cells meet glandular cells, that
cancer is more likely to develop. Correct Answer -
Transformation zone
Pap Screening starts at what age? Correct Answer - 21
Routine HPV screening starts at what age? Correct Answer - 30
A patient is founds to have ASC-H? What is the next step? Correct
Answer - Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly
in women of what age? Correct Answer - 40-44
Most SE's of COC's resolve over the first ____ months. Correct
Answer - 6
Common side effects of COC's include: Correct Answer - Breast
tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be
prescribed a COC pill? Correct Answer - yes- Would be
contraindicated in a smoker age >/= 35.
Linda is a 35 y.o smoker with a history of undiagnosed vaginal
bleeding, triglyceride level of 269, and a history of DVT. Can she be
prescribed a COC pill? Correct Answer - No. Contraindications
to COC pill include: Smoker, aged >/=35, hx of thrombolytic event
(MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or
DM, prolonged immobilization, triglycerides > 250, active liver
disease, women at increased risk of cardiac dse, Active SLE, and
undiagnosed vaginal bleeding
,Danielle is a 29 y.o. She is in grad school and admits to having acne,
having heavy cycles, and never being in the sunlight. She wants to
start on a BC pill and is interested in COC's. What could you tell her
might be advantages to using COC's? Correct Answer -
Decreased menorrhagia, acne, PCOS, ovarian cysts, PID,
ovarian/endometrial cancer, benign breast disease, ectopic
pregnancy. Increased bone density.
What kind of hormone(s) does the NuvaRing contain? Correct
Answer - Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy?
Correct Answer - 3 hours
What hormone(s) does the transdermal patch contain (orthevra or
xulane)? Correct Answer - Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? Correct
Answer - Less effective in obese women
What are the contraindications to the transdermal patch for BC?
Correct Answer - Same as COC's: Smoker >/= age 35, history of
thrombolytic events (MI, DVT, stroke), history or current breast
cancer, uncontrolled HTN or DM, Prolonged immobilization,
Triglycerides > 250, active liver disease, women at increased risk of
cardiac disease, active SLE, undiagnosed vaginal bleeding
What are some extended use combination contraceptives? How do
they work? Correct Answer - Seasonale, Seasonique, Lybrel-
the lining of the uterus doesn't build up, so menses is not needed.
The pills delay or eliminate menstruation
, What are the benefits of extended use contraceptives? Correct
Answer - Decreased anemia, dysmenorrhea, or pre-menstrual
depression
What is common during the first several months of use in extended
use combination contraceptives? Correct Answer -
Breakthrough bleeding (BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but
does not know what kind. As her NP, what would you suggest?
Correct Answer - A progestin only BC option. Due to her SLE, a
progestin only option is preferred to a COC, but must still be used in
caution.
Laura has been prescribed a POP. She reports working 12 hour
shifts and getting home at irregular hours each night. What is
appropriate education for Laura, concerning her POP? Correct
Answer - MUST be taken at the SAME time each day. A delay of
even a couple of hours can result in contraceptive failure. And you
don't want that, Laura!
Erin had her baby 4 months ago. She is still breastfeeding, but wants
to start on contraception. What is a safe contraceptive to start her
on? Correct Answer - Progestin only methods- Safe to use
while breastfeeding
Allison is very concerned b/c she was started on a progestin only
contraceptive device two months ago and has had irregular
bleeding. What should you tell her? Correct Answer - Irregular
bleeding is very common with all progestin only methods of BC.
Maria has heard about IUD's from her friend and comes to your
clinic today wanting to discuss advantages, SE's, and
contraindications of IUD's. What should you tell her? Correct
It is at this location, where squamous cells meet glandular cells, that
cancer is more likely to develop. Correct Answer -
Transformation zone
Pap Screening starts at what age? Correct Answer - 21
Routine HPV screening starts at what age? Correct Answer - 30
A patient is founds to have ASC-H? What is the next step? Correct
Answer - Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly
in women of what age? Correct Answer - 40-44
Most SE's of COC's resolve over the first ____ months. Correct
Answer - 6
Common side effects of COC's include: Correct Answer - Breast
tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be
prescribed a COC pill? Correct Answer - yes- Would be
contraindicated in a smoker age >/= 35.
Linda is a 35 y.o smoker with a history of undiagnosed vaginal
bleeding, triglyceride level of 269, and a history of DVT. Can she be
prescribed a COC pill? Correct Answer - No. Contraindications
to COC pill include: Smoker, aged >/=35, hx of thrombolytic event
(MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or
DM, prolonged immobilization, triglycerides > 250, active liver
disease, women at increased risk of cardiac dse, Active SLE, and
undiagnosed vaginal bleeding
,Danielle is a 29 y.o. She is in grad school and admits to having acne,
having heavy cycles, and never being in the sunlight. She wants to
start on a BC pill and is interested in COC's. What could you tell her
might be advantages to using COC's? Correct Answer -
Decreased menorrhagia, acne, PCOS, ovarian cysts, PID,
ovarian/endometrial cancer, benign breast disease, ectopic
pregnancy. Increased bone density.
What kind of hormone(s) does the NuvaRing contain? Correct
Answer - Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy?
Correct Answer - 3 hours
What hormone(s) does the transdermal patch contain (orthevra or
xulane)? Correct Answer - Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? Correct
Answer - Less effective in obese women
What are the contraindications to the transdermal patch for BC?
Correct Answer - Same as COC's: Smoker >/= age 35, history of
thrombolytic events (MI, DVT, stroke), history or current breast
cancer, uncontrolled HTN or DM, Prolonged immobilization,
Triglycerides > 250, active liver disease, women at increased risk of
cardiac disease, active SLE, undiagnosed vaginal bleeding
What are some extended use combination contraceptives? How do
they work? Correct Answer - Seasonale, Seasonique, Lybrel-
the lining of the uterus doesn't build up, so menses is not needed.
The pills delay or eliminate menstruation
, What are the benefits of extended use contraceptives? Correct
Answer - Decreased anemia, dysmenorrhea, or pre-menstrual
depression
What is common during the first several months of use in extended
use combination contraceptives? Correct Answer -
Breakthrough bleeding (BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but
does not know what kind. As her NP, what would you suggest?
Correct Answer - A progestin only BC option. Due to her SLE, a
progestin only option is preferred to a COC, but must still be used in
caution.
Laura has been prescribed a POP. She reports working 12 hour
shifts and getting home at irregular hours each night. What is
appropriate education for Laura, concerning her POP? Correct
Answer - MUST be taken at the SAME time each day. A delay of
even a couple of hours can result in contraceptive failure. And you
don't want that, Laura!
Erin had her baby 4 months ago. She is still breastfeeding, but wants
to start on contraception. What is a safe contraceptive to start her
on? Correct Answer - Progestin only methods- Safe to use
while breastfeeding
Allison is very concerned b/c she was started on a progestin only
contraceptive device two months ago and has had irregular
bleeding. What should you tell her? Correct Answer - Irregular
bleeding is very common with all progestin only methods of BC.
Maria has heard about IUD's from her friend and comes to your
clinic today wanting to discuss advantages, SE's, and
contraindications of IUD's. What should you tell her? Correct
