NCC WHNP EXAM REVIEW QUESTIONS
COMPLETE WITH CORRECT ANSWERS
\.Advantages of the cervicalcap vs. the diaphragm include which of the followng?
a. Lower failure rate
b. Easier to insert
c. Can remain in place for 48 hrs
d. Spermicide is not needed - ANSWERS-c. It can remain in place for 48 hrs
Diaphragm should not be left in place for more than 24 hrs. Cervical cap can be
left in for up to 48 hrs.
\.Which of the following actions does the estrogen in COCs include?
a. Inhibits ovulation through suppresion of the LH surge
b. Inhibits sperm penetration by thickening the cervical mucus
c. Provides most of the contraceptive benefit of COCs
d. Stabilizes the endometrium for less unscheduled bleeding - ANSWERS-d.
Stabilizes the endometrium for less unscheduled bleeding
, Estrogen in COcs stabilizes the endometrium, contributes to inhibition of
ovulation through suppressio nof FSH. However, mostly potentiates the action of
progestin which has the most contraceptive effect.
\.People who take ospemifine for tx of dyspareunia related to vulvovaginal
atrophy should be advised that they:
a. Will need to take progesterone in addition to prevent endometrial hyperplasia
b. May also need vaginal estrogen to enhance the meds effect
c. May experience vasosmotor sx as a side effect of this medication
d. Should take this med 2-3 hr before having sexual intercourse - ANSWERS-c. May
experience vasosmotor sx as a side effect of this medication
Ospemifine is a SERM taken to tx severe dyspareunia r/t to atrophy. Hot flashes
are a common side effect. Do not use in combination w/ estrogen.
\.Patient's contraceptive patch falls off, but was easily reapplied. It was fully
attached yesterday before having sex. Appropriate advise includes:
a. Remove current patch, apply new one, backup for 7 days
b. Keep patch on if it adheres and consider EC
c. Remove patch, start patch free week now, then apply new patch
d. Keep current patch on if it adheres well and keep same patch-change day -
ANSWERS-d. Keep current patch on if it adheres well and keep same patch-change
day
COMPLETE WITH CORRECT ANSWERS
\.Advantages of the cervicalcap vs. the diaphragm include which of the followng?
a. Lower failure rate
b. Easier to insert
c. Can remain in place for 48 hrs
d. Spermicide is not needed - ANSWERS-c. It can remain in place for 48 hrs
Diaphragm should not be left in place for more than 24 hrs. Cervical cap can be
left in for up to 48 hrs.
\.Which of the following actions does the estrogen in COCs include?
a. Inhibits ovulation through suppresion of the LH surge
b. Inhibits sperm penetration by thickening the cervical mucus
c. Provides most of the contraceptive benefit of COCs
d. Stabilizes the endometrium for less unscheduled bleeding - ANSWERS-d.
Stabilizes the endometrium for less unscheduled bleeding
, Estrogen in COcs stabilizes the endometrium, contributes to inhibition of
ovulation through suppressio nof FSH. However, mostly potentiates the action of
progestin which has the most contraceptive effect.
\.People who take ospemifine for tx of dyspareunia related to vulvovaginal
atrophy should be advised that they:
a. Will need to take progesterone in addition to prevent endometrial hyperplasia
b. May also need vaginal estrogen to enhance the meds effect
c. May experience vasosmotor sx as a side effect of this medication
d. Should take this med 2-3 hr before having sexual intercourse - ANSWERS-c. May
experience vasosmotor sx as a side effect of this medication
Ospemifine is a SERM taken to tx severe dyspareunia r/t to atrophy. Hot flashes
are a common side effect. Do not use in combination w/ estrogen.
\.Patient's contraceptive patch falls off, but was easily reapplied. It was fully
attached yesterday before having sex. Appropriate advise includes:
a. Remove current patch, apply new one, backup for 7 days
b. Keep patch on if it adheres and consider EC
c. Remove patch, start patch free week now, then apply new patch
d. Keep current patch on if it adheres well and keep same patch-change day -
ANSWERS-d. Keep current patch on if it adheres well and keep same patch-change
day
