1
NU664D EXAM 1 Questions with Answers (100%
Correct Answers)
Women who are breastfeeding <21 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 21-30 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 31-42 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Can use CHC if no risk factors for VTE, although least recommended
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,2
What forms of contraception should breastfeeding women NEVER use
Answer: IUD (both types)
CHC is the least recommended but can be used >30 days PP
depending on risk factors for VTE
LNG IUD TYPES and their expiration Answer: Mirena or Liletta: 52 mg: 8
years
Kyleena: 19.5 mg: 5 years
Sklya: 13.5 mg: 3 years
LNG IUD MOA Answer: 1. Thickens cervical mucus
2. Produces atrophic endometrium
3. Slows ovum transport through tube
3. Inhibits sperm motility and function
4. foreign body placement triggers immune response and creates
cytotoxic environment that sperm cannot survive in
LNG-IUD contraindications Answer: IUD in general
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,3
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
LNG IUD
-hx of or current breast cancer
-severe cirrhosis
-SLE
LNG IUD side effects Answer: -acne
-weight gain
-headaches
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, 4
-menstrual irregularities: may have cramping, increased
bleeding/spotting within first 3 months after insertion
-oligomenorrhea or amenorrhea (typically later, months after use)
-nausea
-hirsutism
-mood changes
perfect use Answer: the ability of a method of contraception to prevent
pregnancy as measured by consistent and correct use
typical use Answer: The ability of a method of contraception to prevent
pregnancy as actually used at home by people not being monitored
copper IUD MOA Answer: -IUD placement (foreign body) leads to
inflammatory process that is toxic to sperm
-copper enhances the cytotoxic environment for sperm to live in
-impaired sperm viability, migration
copper IUD contraindications Answer: IUD in general
© 2025 All rights reserved
NU664D EXAM 1 Questions with Answers (100%
Correct Answers)
Women who are breastfeeding <21 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 21-30 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 31-42 days pp can use which form(s) of
contraception? Answer: Progestin only pill
DMPA
Nexplanon
Can use CHC if no risk factors for VTE, although least recommended
© 2025 All rights reserved
,2
What forms of contraception should breastfeeding women NEVER use
Answer: IUD (both types)
CHC is the least recommended but can be used >30 days PP
depending on risk factors for VTE
LNG IUD TYPES and their expiration Answer: Mirena or Liletta: 52 mg: 8
years
Kyleena: 19.5 mg: 5 years
Sklya: 13.5 mg: 3 years
LNG IUD MOA Answer: 1. Thickens cervical mucus
2. Produces atrophic endometrium
3. Slows ovum transport through tube
3. Inhibits sperm motility and function
4. foreign body placement triggers immune response and creates
cytotoxic environment that sperm cannot survive in
LNG-IUD contraindications Answer: IUD in general
© 2025 All rights reserved
,3
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
LNG IUD
-hx of or current breast cancer
-severe cirrhosis
-SLE
LNG IUD side effects Answer: -acne
-weight gain
-headaches
© 2025 All rights reserved
, 4
-menstrual irregularities: may have cramping, increased
bleeding/spotting within first 3 months after insertion
-oligomenorrhea or amenorrhea (typically later, months after use)
-nausea
-hirsutism
-mood changes
perfect use Answer: the ability of a method of contraception to prevent
pregnancy as measured by consistent and correct use
typical use Answer: The ability of a method of contraception to prevent
pregnancy as actually used at home by people not being monitored
copper IUD MOA Answer: -IUD placement (foreign body) leads to
inflammatory process that is toxic to sperm
-copper enhances the cytotoxic environment for sperm to live in
-impaired sperm viability, migration
copper IUD contraindications Answer: IUD in general
© 2025 All rights reserved
