1
NURS
NURS 5333 FAMILY 1 EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Ring - ANS ✓- Plastic ring, inserted by pt
- Left in vagina for 3 weeks, discarged
- contains 4 wks of hormone
- "Nocebo" effect
Quick Start on contraceptives - ANS ✓-take a good sexual history
- If pregnancy test is negative
- pt can start the pills TODAY
Sunday Start - ANS ✓- more for convenience
- this provides period-free weekends
- great for athletes who compete on weekends and want to have period free
weekends
First Day Start - ANS ✓- Traditional approach
- where the pt is told to wait until they start their next period
- Can start on the first day of their period
Long acting reversible contraceptive agents (LARCs) - ANS ✓- studies show,
teen pregnancy can be reduced by 40% with the use of LARCs
- Shots, implants, IUDs
NURS 5333
, 2
NURS
Progestin Only Methods: Depo- Provera injection - ANS ✓- Depo- Provera
injection, which is medroxyprogesterone
- 150mg @every 12 weeks , give or take
- Injected into the muscle, it makes a bolus that slowly releases over the 12 weeks
- notorious for causing amenorrhea
- weight gain
- bone density changes that seem to be reversible after the agent is stopped
Progestin Only Methods: Nexplanon implant - ANS ✓- progestin loaded rods
- implanted in pts arm, subcutaneously
- approved for 3 years
Progestin Only Methods: IUD progestin-based - ANS ✓- inserted through the
cervical os into the uterus
- 5-10 years protection but FDA only approves for 5 yrs in US
- Progestin released into the endometrium
- Amenorrhea and irregular bleeding are again very common
- Thinning of endometrium
- makes an unfavorable cervical mucus
IUD copper-based - ANS ✓- non-hormonal method or used in women with
hormonal contraindications
- copper acts as a spermicide
- causes uterine lining to become very unstable
- thickens the cervical mucus
- many pts will have regular periods
- Heavier periods and some cramping with it
Most Common Contraception - ANS ✓Oral contraception, female sterilization
( tubal ligation or tubal implant), and condoms (US)
NURS 5333
NURS
NURS 5333 FAMILY 1 EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Ring - ANS ✓- Plastic ring, inserted by pt
- Left in vagina for 3 weeks, discarged
- contains 4 wks of hormone
- "Nocebo" effect
Quick Start on contraceptives - ANS ✓-take a good sexual history
- If pregnancy test is negative
- pt can start the pills TODAY
Sunday Start - ANS ✓- more for convenience
- this provides period-free weekends
- great for athletes who compete on weekends and want to have period free
weekends
First Day Start - ANS ✓- Traditional approach
- where the pt is told to wait until they start their next period
- Can start on the first day of their period
Long acting reversible contraceptive agents (LARCs) - ANS ✓- studies show,
teen pregnancy can be reduced by 40% with the use of LARCs
- Shots, implants, IUDs
NURS 5333
, 2
NURS
Progestin Only Methods: Depo- Provera injection - ANS ✓- Depo- Provera
injection, which is medroxyprogesterone
- 150mg @every 12 weeks , give or take
- Injected into the muscle, it makes a bolus that slowly releases over the 12 weeks
- notorious for causing amenorrhea
- weight gain
- bone density changes that seem to be reversible after the agent is stopped
Progestin Only Methods: Nexplanon implant - ANS ✓- progestin loaded rods
- implanted in pts arm, subcutaneously
- approved for 3 years
Progestin Only Methods: IUD progestin-based - ANS ✓- inserted through the
cervical os into the uterus
- 5-10 years protection but FDA only approves for 5 yrs in US
- Progestin released into the endometrium
- Amenorrhea and irregular bleeding are again very common
- Thinning of endometrium
- makes an unfavorable cervical mucus
IUD copper-based - ANS ✓- non-hormonal method or used in women with
hormonal contraindications
- copper acts as a spermicide
- causes uterine lining to become very unstable
- thickens the cervical mucus
- many pts will have regular periods
- Heavier periods and some cramping with it
Most Common Contraception - ANS ✓Oral contraception, female sterilization
( tubal ligation or tubal implant), and condoms (US)
NURS 5333
