WHNP Exam 2 - Contraception|Questions With Correct
Answers|Verified
What's the number one reason women stop taking birth control? - ✅Bleeding
What in combined OCPs causes nausea, when does it improve? - ✅Estrogen, 3 mo
What is the difference between irregular bleeding and spotting? - ✅Spotting does not
require protection
What. can help w/ unscheduled bleeding on BC? - ✅5-7 days naproxen or ibuprofen
BID
There is an increased chance of __________ bleeding if pt skips ___________
bleeding on CHCs. - ✅breakthrough, withdrawal
What is considered bleeding that is life threatening? - ✅1 pad an hour for 2 hours in a
row
What should you do for pt experiencing irregular bleeding on CHCs? - ✅Reassure,
educate, consider pgy test
What are sx r/t estrogen deficiency? - ✅No withdrawal bleed, bleeding first half,
amenorrhea, vaginal dryness, vasomotor
What are sx r/t estrogen excess? - ✅Breast tenderness, dysmenorrhea, HA, nausea,
discharge
What are sx r/t progestin deficiency? - ✅Breakthrough bleeding second half,
dysmenorrhea, clots, heavy bleeding
What are sx r/t progestin excess? - ✅Weight gain, mood swings, HA
What is ACHES used for r/t BC? - ✅Warning signs
What does ACHES stand for? - ✅Abdominal pain, chest pain, HA (severe), eye
problems, severe leg pain
What kind of progestin is in yaz/yasmin? - ✅DRSP
What is DRSP? - ✅Non-androgen
Who should receive progestin only pill? - ✅HTN, migraine w/ aura, stroke, VTE, smoker
>35, <6 weeks postpartum, clotting disorders
, Missing which pill is the highest risk? - ✅First pill
What should you do if you miss a pill? - ✅Take ASAP
What should a woman do if she misses 2 or more pills? - ✅Take pill, take remaining
pills, use backup for 7 days
What should a woman do if she misses >2 pills close to the placebo week? - ✅Skip
withdrawal, continue pills
When should a woman consider taking EC if she missed 2 pills? - ✅Missed during first
week, unprotected sex in last 5 days
What should woman do if she can't find IUD strings? - ✅Use backup, schedule appt
If you can't find strings as a provider, what should you do? - ✅Order imaging
If IUD perforated and is misplaced, which IUD is still effective? - ✅Hormonal
When does perforation occur r/t IUD? - ✅Placement
What's the rate of expulsion for IUD? - ✅5-10%
What else can happen at insertion? - ✅PID if STI present
What do you do for woman w/ PID and IUD? - ✅Abx, remove only if unresponsive
What med might help w/ stenotic cervix for IUD insertion? - ✅Misoprostol
Do you need to give misoprostol before IUD insertion for all nulliparous women? - ✅No
What are side effects r/t misoprostol? - ✅Diarrhea, flu-like, abd cramping
What's the pneumonic for IUD complications? - ✅PAINS
What does PAINS stand for? - ✅Period late/spotting, abd pain (pain w/ sex), infection
(abnormal d/c), not feeling well, strings missing (or shorter/longer)
What should woman do if she inserted Nuvaring 3 hrs late in weeks 1-2? - ✅Reinsert,
backup 7 days
Answers|Verified
What's the number one reason women stop taking birth control? - ✅Bleeding
What in combined OCPs causes nausea, when does it improve? - ✅Estrogen, 3 mo
What is the difference between irregular bleeding and spotting? - ✅Spotting does not
require protection
What. can help w/ unscheduled bleeding on BC? - ✅5-7 days naproxen or ibuprofen
BID
There is an increased chance of __________ bleeding if pt skips ___________
bleeding on CHCs. - ✅breakthrough, withdrawal
What is considered bleeding that is life threatening? - ✅1 pad an hour for 2 hours in a
row
What should you do for pt experiencing irregular bleeding on CHCs? - ✅Reassure,
educate, consider pgy test
What are sx r/t estrogen deficiency? - ✅No withdrawal bleed, bleeding first half,
amenorrhea, vaginal dryness, vasomotor
What are sx r/t estrogen excess? - ✅Breast tenderness, dysmenorrhea, HA, nausea,
discharge
What are sx r/t progestin deficiency? - ✅Breakthrough bleeding second half,
dysmenorrhea, clots, heavy bleeding
What are sx r/t progestin excess? - ✅Weight gain, mood swings, HA
What is ACHES used for r/t BC? - ✅Warning signs
What does ACHES stand for? - ✅Abdominal pain, chest pain, HA (severe), eye
problems, severe leg pain
What kind of progestin is in yaz/yasmin? - ✅DRSP
What is DRSP? - ✅Non-androgen
Who should receive progestin only pill? - ✅HTN, migraine w/ aura, stroke, VTE, smoker
>35, <6 weeks postpartum, clotting disorders
, Missing which pill is the highest risk? - ✅First pill
What should you do if you miss a pill? - ✅Take ASAP
What should a woman do if she misses 2 or more pills? - ✅Take pill, take remaining
pills, use backup for 7 days
What should a woman do if she misses >2 pills close to the placebo week? - ✅Skip
withdrawal, continue pills
When should a woman consider taking EC if she missed 2 pills? - ✅Missed during first
week, unprotected sex in last 5 days
What should woman do if she can't find IUD strings? - ✅Use backup, schedule appt
If you can't find strings as a provider, what should you do? - ✅Order imaging
If IUD perforated and is misplaced, which IUD is still effective? - ✅Hormonal
When does perforation occur r/t IUD? - ✅Placement
What's the rate of expulsion for IUD? - ✅5-10%
What else can happen at insertion? - ✅PID if STI present
What do you do for woman w/ PID and IUD? - ✅Abx, remove only if unresponsive
What med might help w/ stenotic cervix for IUD insertion? - ✅Misoprostol
Do you need to give misoprostol before IUD insertion for all nulliparous women? - ✅No
What are side effects r/t misoprostol? - ✅Diarrhea, flu-like, abd cramping
What's the pneumonic for IUD complications? - ✅PAINS
What does PAINS stand for? - ✅Period late/spotting, abd pain (pain w/ sex), infection
(abnormal d/c), not feeling well, strings missing (or shorter/longer)
What should woman do if she inserted Nuvaring 3 hrs late in weeks 1-2? - ✅Reinsert,
backup 7 days
