Troy Nsg 6666 Women's Health – Contraception Questions
With Complete Solutions
Advantages of COCs Correct Answer Reduced menstrual
flow and dysmenorrhea
Reduce ovarian and endometrial cancer risk
Reduce ectopic pregnancy risk
Reduced incidence of benign breast disease
Reduction of acne
May preserve bone density, protect against iron-deficiency
anemia, ovarian cysts, PID
Does not increase breast cancer risk
Barrier contraceptives Correct Answer Physical block
Great for STD protection
Least effective for contraception
Condoms, spermicide, diaphragm, cervical cap, vaginal sponge
Candidates for COCs Correct Answer Women w/
dysmenorrhea and menorrhagia
Women who want to regulate menses
Women who will use daily method consistently
Combined oral contraceptives (COCs) Correct Answer 91-
99% effective
Estrogen (ethinyl estradiol) and progestin (one of 8 available)
Take at about the same time every day (2-3 hour window)
Consider quick start method
Stay on same pill for at least 3 months to adjust
Most common reason for breakthrough bleeding is missed pills
, Components of preconception care Correct Answer Assess
risk (health, pregnancy intention, contraception)
Give protection (folic acid, immunizations)
Manage conditions (DM, obesity, hypothyroidism, STI)
Avoid harmful exposures (medications, alcohol, tobacco)
Contraindications of COCs Correct Answer Clotting disorders
History of DVT, PE
Migraine w/ aura or focal neurological deficits
Uncontrolled HTN
Postpartum < 6 weeks
Smoking in age > 35 years (15+/day)
Contraindications to POPs Correct Answer Current breast
cancer
Copper IUD Correct Answer Can be used as emergency
contraception
Lasts for 10 years
MUST r/o pregnancy
Copper IUD for EC Correct Answer Can be inserted up to 5
days after unprotected intercourse
Most effective type of EC
Depo-Provera injection Correct Answer Every 12 weeks
94 - 99% effective
Does not protect against STDs
IM or subQ
Side effects: irregular bleeding, amenorrhea
May cause weight gain or decreased BMD
With Complete Solutions
Advantages of COCs Correct Answer Reduced menstrual
flow and dysmenorrhea
Reduce ovarian and endometrial cancer risk
Reduce ectopic pregnancy risk
Reduced incidence of benign breast disease
Reduction of acne
May preserve bone density, protect against iron-deficiency
anemia, ovarian cysts, PID
Does not increase breast cancer risk
Barrier contraceptives Correct Answer Physical block
Great for STD protection
Least effective for contraception
Condoms, spermicide, diaphragm, cervical cap, vaginal sponge
Candidates for COCs Correct Answer Women w/
dysmenorrhea and menorrhagia
Women who want to regulate menses
Women who will use daily method consistently
Combined oral contraceptives (COCs) Correct Answer 91-
99% effective
Estrogen (ethinyl estradiol) and progestin (one of 8 available)
Take at about the same time every day (2-3 hour window)
Consider quick start method
Stay on same pill for at least 3 months to adjust
Most common reason for breakthrough bleeding is missed pills
, Components of preconception care Correct Answer Assess
risk (health, pregnancy intention, contraception)
Give protection (folic acid, immunizations)
Manage conditions (DM, obesity, hypothyroidism, STI)
Avoid harmful exposures (medications, alcohol, tobacco)
Contraindications of COCs Correct Answer Clotting disorders
History of DVT, PE
Migraine w/ aura or focal neurological deficits
Uncontrolled HTN
Postpartum < 6 weeks
Smoking in age > 35 years (15+/day)
Contraindications to POPs Correct Answer Current breast
cancer
Copper IUD Correct Answer Can be used as emergency
contraception
Lasts for 10 years
MUST r/o pregnancy
Copper IUD for EC Correct Answer Can be inserted up to 5
days after unprotected intercourse
Most effective type of EC
Depo-Provera injection Correct Answer Every 12 weeks
94 - 99% effective
Does not protect against STDs
IM or subQ
Side effects: irregular bleeding, amenorrhea
May cause weight gain or decreased BMD
