Exam 2: NR327 NR 327 Latest

Exam 2: NR327 / NR 327 (Latest

Update 2025 / 2026) Maternal-Child Nursing | Questions & Verified Answers | 100% Correct | Grade A - Chamberlain

Question:

Implantable Progestin (arm implant) progesterone only method of birth control

Answer:

-Recommended for postpartum breastfeeding moms.-Estrogen can decrease the milk supply and put the postpartum mother at an increased risk for blood clots.-Lasts for 3 years (Long acting reversible contraceptive) -Prevents ovulation and keeps uterine lining very thin; and creates an unfavorable environment *Can have irregular bleeding*

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Question:

Progesterone injection (progesterone acetate/Depo) method of birth control

Answer:

-Injection once every 3 months -Can be used postpartum

-Priority concerns: bone mineral density and delay in return of fertility

-Can cause weight fluctuations and irregular bleeding

Question:

Vaginal contraceptive ring (Nuvaring) method of contraceptive

Answer:

-Does not have to be placed anywhere specifically -One size fits all -Amount of hormones is a prescription -Ring is worn for 3 weeks then taken out for 1 week -Use caution when prescribing this to women with increased risk of vaginal infections -Can be taken out for up to 3 hours -Combination method with estrogen (increases risk for blood clots, high BP, stroke - watch for headaches)

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Question:

IUD method of contraceptives

Answer:

-Increase risk for ectopic pregnancy

-Prior to placement: complete a pregnancy test and cervical cultures for

gonorrhea and chlamydia -Feels for the strings once a month -There is a risk for a perforated uterus with placement -Must sign consent form -A cervical ripening agent may be used to insert the IUD if it is too narrow -Can last up to 5 years

Question:

OCP method of birth control

Answer:

-Potential risks: blood clots

-Lighter periods, acne relief, relief of PMs symptoms -21 active days and 7 days of placebo pills (can go pack to pack to eliminate periods) -Some antibiotics (like rifampin), St. John's Wart, and some seizure medications can interfere with the effectiveness of the pill -Pill use can be associated with increased risk for gallbladder issues

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Question:

Diaphragm/spermicide method of contraceptive

Answer:

-Must be fitted to the woman's vaginal tone by the HCP -If the patient's weight is fluctuation 20% more or less, if she's had a baby, or if it's been more than 2 years she needs to be refitted for a new one -Rubbery dome device that is filled with spermicide and push up over the cervix -Doesn't matter when you insert before intercourse but needs to remain in for at least 6 hours after and no loner than 24 hrs -Can be an irritant and can cause some skin breakdown

Question:

Natural family planning

Answer:

-Basal body temp method: take temp every morning before getting out of bed

using a thermometer that goes out at least 2 decimal places. Watch for trends overtime - temp goes down slightly right before ovulation then spikes with ovulation.

-Cervical mucus method: no discharge or is thick and sticky = not ovulating;

if thin and stretchy = likely ovulating.

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