Contraception Flashcards

1
Q

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

A

Weight gain

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2
Q

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

A

U.S. MEC chart

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3
Q

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

A

No requirement for frequent visits with health care provider

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4
Q

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

A

Combined oral contraceptive pills

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5
Q

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

A

Nonoxynol-9

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6
Q

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

A

History of pulmonary embolism

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7
Q

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

A

Affordability

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8
Q

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

A

Using a sponge as a form of contraception

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9
Q

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.

A

The unprotected sex happened within the last 3 days.

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10
Q

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

A

Basal body temperature assessment

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11
Q

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.

A

Condoms should be used to reduce the risk of getting a sexually transmitted disease.

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12
Q

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

A

Highly cost-effective

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13
Q

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

A

History of pulmonary embolism

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14
Q

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

A

32-year-old nonbreastfeeding female who had a vaginal delivery 8 weeks ago

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15
Q

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

A

Weight gain

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16
Q

A patient asks a nurse practitioner about the method of action for combined oral contraceptive pills. Propose a method of action of combined oral contraceptive pills that the nurse practitioner should share with the patient.

Reduces prolactin levels

Increases density of cervical mucus

Stimulates release of FSH and LH

Decreases release of egg from ovary

A

Decreases release of egg from ovary