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NR568
NR 568 Final Exam Guide: (Latest Update 2025 /
2026) | Questions & Answers | Grade A 100%
Correct.
1.What medication is used for osteoporosis, osteopenia, and HRT?: SERM—
Bazedoxifene
2.How to change pt from one OC to another?: Start new brand and either Skip
placebo week of old OC OR use condoms until 7 pills taken of new brand
3.When is the best time in cycle to start new OC?: On day ONE of period. Use
condoms for 7 days.
4.Patient teaching with new OC?: a. Take at same time daily b. Higher weight =
less effective
c. Report: leg tenderness/redness, SOB, headache, chest pain, visual changes
5. What to do if you mess up OC?: a. More than 3 hr late—take 1 ASAP and
condom x 2 days
b.1+ pills missed in FIRST WEEK—take 1 ASAP continue pack condoms x 7 days
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NR568
c. 1-2 pills missed in WEEKS 2 OR 3—take 1 ASAP continue pack and SKIP
placebo week
d.3+ pills missed in WEEKS 2 OR 3—take 1 ASAP continue pack and SKIP
placebo week AND condoms x 7 days13. What baseline info is needed for
OC?: Assess for HTN, DM, Thromboembolism, CV disease, Breast
CA and obtain urine Pregnancy test
6. What are absolute CI for OC?: i. Thrombophlebitis / thrombotic disorders ii.
Cerebrovascular disease iii. Coronary occlusion iv. Liver dysfunction v. Breast
CA vi. Abnormal vaginal bleedingvii. Pregnant viii. Smoker 35+
7. What are relative CI for OC?: i. HTN ii. CV disease iii. DM iv. Cholestatic
jaundice (pregnancy) v.
Gallbladder disease vi. Uterine leiomyoma vii. Epilepsy viii. Migraine
8. How do you achieve an extended cycle with OC?: Skip placebo pills
(safe)
9. What effect do CYP450 INHIBITORS have on OC?: Can accelerate OC
metabolism and thereby reduce OC effects. Indications of reduced OC
blood levels-breakthrough bleeding or spotting.
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NR568
10. Some CYP450 Inhibitors: Grapefruit b. Amio c. Fluconazole d.
Fluoxetine e. Flagyl f. Ritonavir g. Bactrim
11. What should be done if a woman is showing signs of reduced OC
blood
levels?: (1) increase the estrogen dosage of the OC, (2) combine the OC with a
second form of birth control (e.g., condom), or (3) switch to an alternative form
of birth control.
12. What are the benefits of PROGESTIN-ONLY OC?: NO
thromboembolic ADR
13. What are the drawbacks of PROGESTIN-ONLY OC?: Less effective ,
Irregular bleeding 22. What are the most effective forms of
contraception?: EXTREMELY EFFECTIVE: i. Etono-
gestrel subdermal implant (Nexplanon) ii. Surgical sterilization (tubal ligation /
vasectomy) iii. Intrauterine devices iv.
Copper T 380A (Paraguard) v. Levonorgestrel T (Mirena)
NR568
NR 568 Final Exam Guide: (Latest Update 2025 /
2026) | Questions & Answers | Grade A 100%
Correct.
1.What medication is used for osteoporosis, osteopenia, and HRT?: SERM—
Bazedoxifene
2.How to change pt from one OC to another?: Start new brand and either Skip
placebo week of old OC OR use condoms until 7 pills taken of new brand
3.When is the best time in cycle to start new OC?: On day ONE of period. Use
condoms for 7 days.
4.Patient teaching with new OC?: a. Take at same time daily b. Higher weight =
less effective
c. Report: leg tenderness/redness, SOB, headache, chest pain, visual changes
5. What to do if you mess up OC?: a. More than 3 hr late—take 1 ASAP and
condom x 2 days
b.1+ pills missed in FIRST WEEK—take 1 ASAP continue pack condoms x 7 days
, 2
NR568
c. 1-2 pills missed in WEEKS 2 OR 3—take 1 ASAP continue pack and SKIP
placebo week
d.3+ pills missed in WEEKS 2 OR 3—take 1 ASAP continue pack and SKIP
placebo week AND condoms x 7 days13. What baseline info is needed for
OC?: Assess for HTN, DM, Thromboembolism, CV disease, Breast
CA and obtain urine Pregnancy test
6. What are absolute CI for OC?: i. Thrombophlebitis / thrombotic disorders ii.
Cerebrovascular disease iii. Coronary occlusion iv. Liver dysfunction v. Breast
CA vi. Abnormal vaginal bleedingvii. Pregnant viii. Smoker 35+
7. What are relative CI for OC?: i. HTN ii. CV disease iii. DM iv. Cholestatic
jaundice (pregnancy) v.
Gallbladder disease vi. Uterine leiomyoma vii. Epilepsy viii. Migraine
8. How do you achieve an extended cycle with OC?: Skip placebo pills
(safe)
9. What effect do CYP450 INHIBITORS have on OC?: Can accelerate OC
metabolism and thereby reduce OC effects. Indications of reduced OC
blood levels-breakthrough bleeding or spotting.
, 3
NR568
10. Some CYP450 Inhibitors: Grapefruit b. Amio c. Fluconazole d.
Fluoxetine e. Flagyl f. Ritonavir g. Bactrim
11. What should be done if a woman is showing signs of reduced OC
blood
levels?: (1) increase the estrogen dosage of the OC, (2) combine the OC with a
second form of birth control (e.g., condom), or (3) switch to an alternative form
of birth control.
12. What are the benefits of PROGESTIN-ONLY OC?: NO
thromboembolic ADR
13. What are the drawbacks of PROGESTIN-ONLY OC?: Less effective ,
Irregular bleeding 22. What are the most effective forms of
contraception?: EXTREMELY EFFECTIVE: i. Etono-
gestrel subdermal implant (Nexplanon) ii. Surgical sterilization (tubal ligation /
vasectomy) iii. Intrauterine devices iv.
Copper T 380A (Paraguard) v. Levonorgestrel T (Mirena)
