Exam 1: NU 664D NU664D Latest

Exam 1: NU 664D / NU664D (Latest

Update 2025 / 2026) Primary Care Adult Woman I | Questions & Answers | 100% Correct | Grade A - Regis

Question:

iron deficiency anemia is commonly related to a poor diet. True or False?

Answer:

-False -IDA happens when there is not enough iron to build hemoglobin for red blood cells

Question:

pernicious anemia is macrocytic or microcytic?

Answer:

Macrocytic

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Question:

When iron is prescribed to trate iron deficiency anemia, the first lab value

that changes to indicate the iron is working is:

Answer:

Reticulocyte count

Question:

Common side effects of Depo-provera?

Answer:

Weight gain, temporary low bone density, nauseam headaches, menstrual irregularities.

Question:

If a patient with an IUD comes in 6 wks with vaginal discharge, intermittent cramping, and continuous spotting. What do you do?

Answer:

Heavy menstrual bleeding, spotting and more painful periods is normal with the Paraguard, especially in the first 1-6 months after insertion. NSAIDs are typically recommended to management of these symptoms. If NSAIDS fail to work for this patient, I would have her schedule an appointment to assess for pregnancy, infection, and/or expulsion(Schadewald et. al, 2020).

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Question:

• A patient calls and reports she was engaging in sexual relations with her new

boyfriend and the condom broke. What should she do now?

Answer:

Assess for when this incident happened and if she wishes to be pregnant. As emergency contraception is only effective within the last 120 hours (5 days). I would ask her to come in. We would have her complete a pregnancy test, if

negative:

----Postcoital IUD Insertion ( most effective method) ----Ulipristal Acetate ( not effective if BMI>25) -----Levonorgestrel-Only

Question:

A patient has been on combination birth control pills for many years and just started on Lamictal for management of her seizures. She calls to ask if the two interact and what she should do.

Answer:

• I would inform her that they do interact as the oral contraceptives may

decrease the effectiveness of the Lamictal. According to U.S. medical eligibility criteria for contraceptive chart, it is a 3. So I would schedule an appointment with the patient to discuss other options for birth control (Schadewald et. al, 2020).

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