Contraception Flashcards
A patient has an etonogestrel implant and is being seen by a nurse practitioner for a potential side effect. Predict a common side effect that the nurse practitioner should expect.
Weight gain
Vomiting
Leg cramps
Decreased appetite
Weight gain
A nurse practitioner is evaluating a patient who has multiple medical conditions. Determine a resource that the nurse practitioner can use to assist in the selection of a contraceptive method.
U.S. MEC chart
Physicians’ Desk Reference
Drug manufacturers’ Web sites
Davis’s Drug Guide
U.S. MEC chart
A nurse practitioner is discussing the advantages of using an IUD. Determine an advantage that should be included.
Can be discontinued easily
Slow return of fertility
Initially has low cost
No requirement for frequent visits with health care provider
No requirement for frequent visits with health care provider
A nurse practitioner is discussing combined hormonal contraception with a patient. Choose a method that the nurse practitioner should include in this discussion.
Combined oral contraceptive pills
Levonorgestrel IUDs
Contraceptive sponges
Spermicides
Combined oral contraceptive pills
A female patient has been diagnosed with HIV. Predict which contraception method may have contributed to her risk of HIV infection.
Female condoms
Copper T IUD
Nonoxynol-9
Oral contraceptive pills
Nonoxynol-9
A nurse practitioner is reviewing a patient’s chart as part of an evaluation for a hormonal IUD. Establish a contraindication to a hormonal IUD.
Family history of diabetes mellitus
History of pulmonary embolism
Use of over-the-counter vaginal yeast cream
Cholecystitis
History of pulmonary embolism
A nurse practitioner is discussing the selection of a contraceptive method with a female patient. Identify which is a consideration that the nurse practitioner should include in this discussion.
Pharmacokinetics of all contraceptive methods
Overall national rates of unplanned pregnancy
Adverse effects of all contraceptive methods
Affordability
Affordability
A patient has been diagnosed with toxic shock syndrome (TSS). Determine a risk factor for this infection.
Use of a hormonal IUD
Using a sponge as a form of contraception
Using nonoxynol-9 and a female condom
Using a male condom concurrently with a female condom
Using a sponge as a form of contraception
A female patient reports that her male partner’s condom broke during recent sexual intercourse. The nurse practitioner should recommend emergency contraception under which of the following conditions?
The patient is not having her menses.
The sexual intercourse occurred within the past 7 days.
The patient does not have an allergy to copper.
The unprotected sex happened within the last 3 days.
The unprotected sex happened within the last 3 days.
A female patient is using a fertility awareness-based method of contraception. Predict which method the patient is using.
Basal body temperature assessment
Spermicidal insertion
IUD-associated amenorrhea
Nitrile condoms
Basal body temperature assessment
A nurse practitioner is prescribing an oral contraceptive pill to a patient. Determine an important part of patient education that should be reviewed.
Condoms should be used to reduce the risk of getting a sexually transmitted disease.
The use of barrier methods is not needed if an oral contraceptive is used.
Using an oral contraceptive pill carries an increased risk of toxic shock syndrome.
Using this pill reduces the risk of vaginal infections.
Condoms should be used to reduce the risk of getting a sexually transmitted disease.
A nurse practitioner is discussing the advantages of using an IUD. Determine an advantage that should be included.
Initially has low cost
Requires annual monitoring for cervical cancer with a Pap smear
Highly cost-effective
Slow return of fertility
Highly cost-effective
A nurse practitioner is reviewing a patient’s chart as part of an evaluation for a hormonal IUD. Establish a contraindication to a hormonal IUD.
History of bacterial vaginosis 3 years ago
History of pulmonary embolism
Family history of diabetes mellitus
Use of over-the-counter vaginal yeast cream
History of pulmonary embolism
A nurse practitioner is identifying patients who are candidates for a combined hormonal contraception method. Predict which patient the nurse practitioner would identify as an appropriate candidate for this type of contraception.
37-year-old female who smokes tobacco daily
32-year-old nonbreastfeeding female who had a vaginal delivery 8 weeks ago
26-year-old female who has migraines with auras
43-year-old female with uncontrolled hypertension
32-year-old nonbreastfeeding female who had a vaginal delivery 8 weeks ago
A patient has an etonogestrel implant and is being seen by a nurse practitioner for a potential side effect. Predict a common side effect that the nurse practitioner should expect.
Weight gain
Leg cramps
Decreased appetite
Constipation
Weight gain