NM 701 EXAM 3 NEWEST ACTUAL QUESTIONS AND

NM 701 EXAM 3 NEWEST ACTUAL / QUESTIONS AND

ANSWERS VERIFIED/GRADED A+

Vaginal ring hormones - ---Answers---estrogen & progestin

Vaginal ring MOA - ---Answers----ovulation suppression (no egg) -thickening of cervical mucus (block sperm) -thin endometrial lining (no implant) -slow tubal motility (no meet up)

Vaginal ring effectiveness - ---Answers---TU: 93%

PU: 99%

Vaginal ring advantages - ---Answers----avoids daily regimen *-no fluctuation in hormone release*

Vaginal ring disadvantages - ---Answers----Common s/e (HA, expulsion, vaginal discharge) -Placement and removal of device -Discomfort during intercourse

NuvaRing instructions - ---Answers----Remove after 21 days -Bleed for 1 week 1 / 4

-Reinsert -Can be used continuously for no hormone-free days

Patch can be applied where? - ---Answers---Abdomen, butt, upper torso, upper outer arm *Not the breast* Rotate site q7 days

Patch MOA - ---Answers----ovulation suppression (no egg) -thickening of cervical mucus (block sperm) -thin endometrial lining (no implant) -slow tubal motility (no meet up)

Patch advantages - ---Answers----Changed weekly

Patch disadvantages - ---Answers----Skin irritations -Common s/e (HA, breast tenderness, nausea) -No STI protection -Pigment changes

Patch education - ---Answers----No bandaids, wraps, tapes - >drug delivery increased -Able to bathe, swim -Dispose by folding over itself, seal in bag and discard in trash

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If patch is off >48 hr during 1st and 2nd week... - ---Answers-- -use backup method x7 days

If patch is off >48 hr during 3rd week... - ---Answers---use BU method x14 days, skip hormone free week

Can the patch be used continuously? - ---Answers---Not typically

If patch is off >24 hr but <48 hr... - ---Answers---start new patch and change again on the regular change day

Which type of contraception is less effective in BMI >30 or >198 lb - ---Answers---Patch

MEC Cat 4 Conditions for CHC- Abdominal - ---Answers---- Gallbladder disease -Liver disease -Kidney disease -Sickle cell

MEC Cat 4 Conditions for CHC- Chest - ---Answers----RF for

CVD, HTN

-Vascular disease -Current DVT/PE -Hx of stroke, CVD, MI, clots 3 / 4

-Uncontrolled HTN -DM -Hyperlipidemia -Obesity -Factor V Leiden mutation -Protein S/C

MEC Cat 4 Conditions for CHC- Headache/Eye problems - --- Answers----Migraine w/ aura -Hx stroke -Uncontrolled HTN

MEC Cat 4 Conditions for CHC- Severe leg pain/Swelling of legs - ---Answers----DM >20 years with retinopathy, nephropathy, neuropathy

Major surgery w/ prolonged immobilization is a MEC 4 for.... - ---Answers---CHC

Smoking and CHC - ---Answers---Mec 4: 35+ and smoking 15

cigarettes/day

PP and CHC - ---Answers---Mec 4: before 3-4 weeks PP

Hypercoagulable phase of PP is considered resolved enough by _____ weeks - ---Answers---3 complete weeks

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