Contraception Questions with Complete Solutions, Exams of Health sciences

Download Contraception Questions with Complete Solutions and more Exams Health sciences in PDF only on Docsity! WHNP Exam 2 – Contraception Questions with Complete Solutions 2024/2025 Bleeding What's the number one reason women stop taking birth control? Estrogen, 3 mo What in combined OCPs causes nausea, when does it improve? Spotting does not require protection What is the difference between irregular bleeding and spotting? 5-7 days naproxen or ibuprofen BID What. can help w/ unscheduled bleeding on BC? breakthrough, withdrawal There is an increased chance of __________ bleeding if pt skips ___________ bleeding on CHCs. 1 pad an hour for 2 hours in a row What is considered bleeding that is life threatening? Reassure, educate, consider pgy test What should you do for pt experiencing irregular bleeding on CHCs? No withdrawal bleed, bleeding first half, amenorrhea, vaginal dryness, vasomotor What are sx r/t estrogen deficiency? Breast tenderness, dysmenorrhea, HA, nausea, discharge What are sx r/t estrogen excess? Breakthrough bleeding second half, dysmenorrhea, clots, heavy bleeding What are sx r/t progestin deficiency? Weight gain, mood swings, HA What are sx r/t progestin excess? Warning signs What is ACHES used for r/t BC? Abdominal pain, chest pain, HA (severe), eye problems, severe leg pain What does ACHES stand for? DRSP What kind of progestin is in yaz/yasmin? Non-androgen What is DRSP? HTN, migraine w/ aura, stroke, VTE, smoker >35, <6 weeks postpartum, clotting disorders Who should receive progestin only pill? First pill Missing which pill is the highest risk? Take ASAP What should you do if you miss a pill? Take pill, take remaining pills, use backup for 7 days What should a woman do if she misses 2 or more pills? Skip withdrawal, continue pills What should a woman do if she misses >2 pills close to the placebo week? Missed during first week, unprotected sex in last 5 days When should a woman consider taking EC if she missed 2 pills? Use backup, schedule appt What should woman do if she can't find IUD strings? Order imaging If you can't find strings as a provider, what should you do? Hormonal If IUD perforated and is misplaced, which IUD is still effective? Placement When does perforation occur r/t IUD? 5-10% What's the rate of expulsion for IUD? PID if STI present What else can happen at insertion? Abx, remove only if unresponsive What do you do for woman w/ PID and IUD? Misoprostol What med might help w/ stenotic cervix for IUD insertion? No Do you need to give misoprostol before IUD insertion for all nulliparous women? Diarrhea, flu-like, abd cramping What are side effects r/t misoprostol? PAINS What's the pneumonic for IUD complications? Period late/spotting, abd pain (pain w/ sex), infection (abnormal d/c), not feeling well, strings missing (or shorter/longer) 24% What's the failure rate for fertility awareness? Prolactin What hormone during breastfeeding inhibits ovulation? Exclusive breastfeeding, amenorrhea, infant >6 mo What are criteria for lactational amenorrhea? Irregular cycle, discharge What can impact how well fertility awareness works? 18% What's the failure rate for condoms? True T/F: You need to use a new condom with each act of intercourse. Decreased sensation, breaking, slip off, partner dependent, irritation What are disadvantages to condoms? Condom What is the only method that protects against STIs? Condom What contraception can assist w/ premature ejaculation? 21% What's the failure rate of the female condom? Cervix, vagina, vulva, perineum, anal or vaginal What does the female condom protect? False T/F: A female condom can be used with male condoms, caps, diaphragms, and rings. Chemical barrier What kind of contraception is spermicide? 28% What's the failure rate for spermicide? Nonoxyl 9 What's the most common spermicide? HIV risk Who should NOT use spermicide? 4, 3 Spermicide is a category ____ method if pt is at risk for HIV, and a category ____ if pt is HIV/AIDS +. False T/F: Spermicide can be used rectally. 24%, 12% What is the failure rate for sponges in parous and nulliparous women? 24 hrs (multiple acts of intercourse) How long can a vaginal sponge be used? Single use, irritation What's a disadvantage of sponges? Sponge w/ spermicide What is a vaginal sponge? Physiologic, barrier, permanent What are the types of nonhormonal contraception? 12% What's the failure rate for diaphragms? UTIs, need spermicide, need to be fitted What are disadvantages to diaphragms? True T/F: Diaphragms are increasing in popularity. 0.5% What's the failure rate for tubal ligation? Ovarian cancer What risk decreases w/ tubal ligation? Pain w/ ic, backache, amenorrhea, hemorrhage What is post-tubal syndrome? No Are cervical options for tubal ligation available? 0.15% What's the failure rate for vasectomies? Vas deferent cut or blocked What occurs in a vasectomy? No Do vasectomies affect drive or sensation? False T/F: Vasectomies are immediately effective Follow up What's necessary after vasectomy to ensure sterilization? 10 years After how long is a vasectomy no longer reversible? Higher doses Why did original forms of OCPs have severe CV side effects? Inhibit HPO, stops ovulation How do OCPs work? Inhibits LH surge, thickens cervical mucus, decreases FT motility What does progestin do in contraceptives? Stabilizes endometrium, suppresses FSH What does estrogen do in contraceptives? Mono or multiphasic What are the types of combinations of OCPs? Cancer, subfertility What can COCs prevent? Breast cancer in last 5 years, lupus with antiphospholipid antibody Who should avoid POPs? Nuvaring What type of hormonal contraception has the lowest level of serum estrogen/progestin? Weekly application x3 How is the patch dosed? Abdomen, buttocks, upper arm, torso Where can you put the patch? Nausea, breast irritation, skin irritation What are disadvantages of the patch? 6% What's the failure rate of depo provera? LH, FSH What does depo suppress? Progestin What is in depo? Seizures What condition might depo help with? Amenorrhea What might happen after taking depo? Weight gain, hypoestrogenism What are major disadvantages of depo? IUD What's the most popular form of contraception worldwide? Same day insertion What increases the use of LARCs? Contraceptive choice study