NUR 113- Unit 1 Exam UPDATED ACTUAL Questions and
CORRECT Answers
What are 3 types of IUDs available in the US? Hormonal IUDs: Mirena & Skyla (releases a small amount of LNg, a progestin,
into the endometrial cavity)
Copper IUD: Copper T 308A (ParaGard)
Describe the IUD device. All three types of IUDs are shaped like the letter T. They are inserted in a
collapsed position and then expand into shape in the uterus once the inserter
is withdrawn. The attached plastic threads or "tail" extend through the cervix
and into the vagina. All types of IUDs are non-latex devices impregnated with
barium sulfate for radiopacity.
What are some client teachings about a newly inserted A client with a newly inserted IUD should be taught to expect mild cramping or
IUD? spotting, to check IUD strings regularly after each menstrual period without
pulling them, to use backup contraception for up to 7 days if instructed, and to
call the provider right away for severe pelvic or abdominal pain, heavy
bleeding, fever, unusual discharge, signs of pregnancy, or if the strings are
missing or the device feels out of place. IUD is effective immediately. Back up
plan may be recommended for no more than 7 days after the insertion of the
IUD.
Mirena May be inserted at any time during the menstrual cycle as long as pregnancy
may be reasonably excluded; they may also be inserted immediately after
childbirth or first trimester abortion. Must be replaced every 5 years
Skyla It should be inserted during the first 7 days of the menstrual cycle or
immediately after a first trimester abortion; postpartum insertion should be
postponed for a minimum of 6 weeks. Must be replaced every 3 years.
Copper T 380A (ParaGard) May be inserted at any time during the menstrual cycle as long as pregnancy
may be reasonably excluded; they may also be inserted immediately after
childbirth or first trimester abortion. May remain in place for 10 years
, How to correctly use a diaphragm? It can be inserted into the vagina up to 6 hours before intercourse, and it must
be filled with a spermicide applied inside and along the rim before insertion. If
intercourse occurs again before 6 hours have elapsed, the diaphragm should
be left undisturbed and another applicator of spermicide should be inserted
into the vagina.
How long can you keep the diaphragm in place? The diaphragm should remain in place for 6 hours after the last act of
intercourse. To ensure continued protection, the diaphragm should be
replaced every 2 years, and may need to be refitted after weight loss or weight
gain, term birth, or second-trimester abortion.
What are oral contraceptives? birth control pills that contain hormones to inhibit the production of FSH so
that no eggs mature
What are low-dose progestin-only contraceptive pills? They provide effective contraception when used alone or in combination with
estrogen. When used alone, progestins are believed to inhibit ovulation
inconsistently. Progestin-only contraceptives are thought to function primarily
by creating a thickened cervical mucus (which produces a hostile environment
for sperm penetration) and causing endometrial atrophy. These alterations
inhibit egg implantation and decrease the penetration of sperm and ovum
transport.
What do you do if you miss a dose of oral When educating clients about taking med, make sure they take at same time
contraceptives? every day and do not skip doses. If they miss a dose be sure to teach them to
take it as soon as they realize dose is missed and resume normal schedule.
What are the contraindications for taking a combined Cigarette smoking (at least 15 cigarettes/day) and age greater than 35 years,
oral contraceptive? uncontrolled hypertension, undiagnosed abnormal vaginal bleeding, diabetes
of more than 20 years' duration or with vascular complications, history of blood
clots, pulmonary embolism, DVT, congestive heart failure, cerebrovascular
disease, coronary artery disease, severe migraine headaches, estrogen-
dependent neoplasia, known or suspected breast cancer, active liver disease,
known or suspected pregnancy, history of complications from organ
transplants or presently preparing for transplant surgery, kidney or adrenal
gland insufficiency, or liver disease.
S/S to report to the provider when taking oral Abdominal pain, chest pain, headaches, eye problems, or severe leg pain.
contraceptives These may signal serious problems like a blood clot, stroke, heart attack, or
liver problem.
What is the most effective birth control to prevent Condoms
pregnancy and sexually transmitted diseases?
What is spinnbarkeit? It is the stretchiness of cervical mucus. It is used to help identify ovulation.
Cervical mucus becomes clear, slippery, thin, and stretchy, like egg whites.
What are some patient teaching on Pelvic Inflammatory Avoid frequent douching because it decreases the natural flora that controls
Disease? the growth of infectious organisms. The client needs to wear cotton
undergarments, and clothes should not fit tightly. Intrauterine devices increase
the client's susceptibility to infection. Sanitary pads need to be changed at
least every 4 hours. Tampons would not be used during the acute infection,
and some primary health care providers may recommend avoiding them
indefinitely. The client also needs to avoid strong soaps, sprays, powders, and
similar products that will irritate the perineum.
CORRECT Answers
What are 3 types of IUDs available in the US? Hormonal IUDs: Mirena & Skyla (releases a small amount of LNg, a progestin,
into the endometrial cavity)
Copper IUD: Copper T 308A (ParaGard)
Describe the IUD device. All three types of IUDs are shaped like the letter T. They are inserted in a
collapsed position and then expand into shape in the uterus once the inserter
is withdrawn. The attached plastic threads or "tail" extend through the cervix
and into the vagina. All types of IUDs are non-latex devices impregnated with
barium sulfate for radiopacity.
What are some client teachings about a newly inserted A client with a newly inserted IUD should be taught to expect mild cramping or
IUD? spotting, to check IUD strings regularly after each menstrual period without
pulling them, to use backup contraception for up to 7 days if instructed, and to
call the provider right away for severe pelvic or abdominal pain, heavy
bleeding, fever, unusual discharge, signs of pregnancy, or if the strings are
missing or the device feels out of place. IUD is effective immediately. Back up
plan may be recommended for no more than 7 days after the insertion of the
IUD.
Mirena May be inserted at any time during the menstrual cycle as long as pregnancy
may be reasonably excluded; they may also be inserted immediately after
childbirth or first trimester abortion. Must be replaced every 5 years
Skyla It should be inserted during the first 7 days of the menstrual cycle or
immediately after a first trimester abortion; postpartum insertion should be
postponed for a minimum of 6 weeks. Must be replaced every 3 years.
Copper T 380A (ParaGard) May be inserted at any time during the menstrual cycle as long as pregnancy
may be reasonably excluded; they may also be inserted immediately after
childbirth or first trimester abortion. May remain in place for 10 years
, How to correctly use a diaphragm? It can be inserted into the vagina up to 6 hours before intercourse, and it must
be filled with a spermicide applied inside and along the rim before insertion. If
intercourse occurs again before 6 hours have elapsed, the diaphragm should
be left undisturbed and another applicator of spermicide should be inserted
into the vagina.
How long can you keep the diaphragm in place? The diaphragm should remain in place for 6 hours after the last act of
intercourse. To ensure continued protection, the diaphragm should be
replaced every 2 years, and may need to be refitted after weight loss or weight
gain, term birth, or second-trimester abortion.
What are oral contraceptives? birth control pills that contain hormones to inhibit the production of FSH so
that no eggs mature
What are low-dose progestin-only contraceptive pills? They provide effective contraception when used alone or in combination with
estrogen. When used alone, progestins are believed to inhibit ovulation
inconsistently. Progestin-only contraceptives are thought to function primarily
by creating a thickened cervical mucus (which produces a hostile environment
for sperm penetration) and causing endometrial atrophy. These alterations
inhibit egg implantation and decrease the penetration of sperm and ovum
transport.
What do you do if you miss a dose of oral When educating clients about taking med, make sure they take at same time
contraceptives? every day and do not skip doses. If they miss a dose be sure to teach them to
take it as soon as they realize dose is missed and resume normal schedule.
What are the contraindications for taking a combined Cigarette smoking (at least 15 cigarettes/day) and age greater than 35 years,
oral contraceptive? uncontrolled hypertension, undiagnosed abnormal vaginal bleeding, diabetes
of more than 20 years' duration or with vascular complications, history of blood
clots, pulmonary embolism, DVT, congestive heart failure, cerebrovascular
disease, coronary artery disease, severe migraine headaches, estrogen-
dependent neoplasia, known or suspected breast cancer, active liver disease,
known or suspected pregnancy, history of complications from organ
transplants or presently preparing for transplant surgery, kidney or adrenal
gland insufficiency, or liver disease.
S/S to report to the provider when taking oral Abdominal pain, chest pain, headaches, eye problems, or severe leg pain.
contraceptives These may signal serious problems like a blood clot, stroke, heart attack, or
liver problem.
What is the most effective birth control to prevent Condoms
pregnancy and sexually transmitted diseases?
What is spinnbarkeit? It is the stretchiness of cervical mucus. It is used to help identify ovulation.
Cervical mucus becomes clear, slippery, thin, and stretchy, like egg whites.
What are some patient teaching on Pelvic Inflammatory Avoid frequent douching because it decreases the natural flora that controls
Disease? the growth of infectious organisms. The client needs to wear cotton
undergarments, and clothes should not fit tightly. Intrauterine devices increase
the client's susceptibility to infection. Sanitary pads need to be changed at
least every 4 hours. Tampons would not be used during the acute infection,
and some primary health care providers may recommend avoiding them
indefinitely. The client also needs to avoid strong soaps, sprays, powders, and
similar products that will irritate the perineum.
