|||\\\
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 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Advantages: Decreased menorrhagia, dysmenorrhea, and anemia, can be used by |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
lactating women and in those w/ contraindications to estrogen. May be used as treatment for|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
menorrhagia.
SE's: Irregular bleeding (may be heavy), worse the first few months. Headache, mastalgia, acne,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
expulsion (more common in first few cycles), uterine perforation at time of insertion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion, Acute PID, or high |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
risk for PID, endometrial infection in past 3 months. Uterine, cervical, breast cancer.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
undiagnosed vaginal bleeding, acute mucopurulent cervicitis. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What do Mirena, Skyla, Liletta, and Kyleena all have in common? - correct answer✔✔They are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
all progestin-only IUD's; Highly effective with a duration of 3-5 years
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Advantages: Decreased menorrhagia, dysmenorrhea, and anemia, can be used by |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
lactating women and in those w/ contraindications to estrogen. May be used as treatment for|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
menorrhagia.
SE's: Irregular bleeding (may be heavy), worse the first few months. Headache, mastalgia, acne,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
expulsion (more common in first few cycles), uterine perforation at time of insertion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion, Acute PID, or high |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
risk for PID, endometrial infection in past 3 months. Uterine, cervical, breast cancer.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
undiagnosed vaginal bleeding, acute mucopurulent cervicitis. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What do Mirena, Skyla, Liletta, and Kyleena all have in common? - correct answer✔✔They are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
all progestin-only IUD's; Highly effective with a duration of 3-5 years
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
