NURS 629-2022/20223 Womens health med challenger
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Question
1
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Although women may experience some "nuisance" type of side effects while on
oral contraceptives (OCPs), how long should they be encouraged to wait for
resolution of these effects?
1 month
3 months
6 months
Educational Objective
Outline duration of side effects from OCPs
Key Point
Most minor side effects from OCPs resolve within 3 months.
Explanation
Most of the minor side effects of OCPs, including breakthrough bleeding, will
resolve within 3 months if they are going to resolve at all. Women should
NURS 629-2022/20223 Womens health med challenger
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,NURS 629-2022/20223 Womens health med challenger
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NURS 629-2022/20223 Womens health med challenger
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therefore be encouraged to wait at least that long prior to discontinuing or
changing contraception secondary to side effects.
A follow-up visit after 2 to 3 months is recommended for women using oral
contraceptives. At this time persisting side effects can be addressed and a
new pill chosen if indicated. Blood pressure should be measured and
instructions for management of missed pills reviewed.
Reference:
Zieman M. Overview of contraception. In: Basow DS, ed. UpToDate. Accessed
September 12, 2012.
Question
2
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A 25-year-old patient presents with a urinary tract infection and was prescribed
sulfamethoxazole/trimethoprim to treat the infection. She is concerned that the
antibiotic will interfere with the effectiveness of her oral contraceptive pills. How
should this patient be counseled regarding her use of antibiotics and oral
NURS 629-2022/20223 Womens health med challenger
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, NURS 629-2022/20223 Womens health med challenger
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contraceptive pills (OCPs)?
Antibiotics are teratogenic and she
should completely avoid sexual
contact while taking
them.
She should use a back-up method of
contraception while taking antibiotics.
She should request a different
antibiotic because
sulfamethoxazole/trimethoprim may
reduce the effectiveness of her OCP.
She should use a back-up method of
contraception until the onset of her
next menses.
Taking sulfamethoxazole/trimethoprim
will not
alter the effectiveness of her OCPs.
Rifampin is the only proven antibiotic to decrease serum ethinyl estradiol and
progestin levels in women taking OCPs. A nonhormonal contraceptive method is
recommended in women prescribed rifampin, but not other antibiotics. Rifampin
may also decrease the effectiveness of transdermal and vaginal ring
NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
questions with answers verified and elaborated 100%
guaranteed success
Question
1
Report Question
Although women may experience some "nuisance" type of side effects while on
oral contraceptives (OCPs), how long should they be encouraged to wait for
resolution of these effects?
1 month
3 months
6 months
Educational Objective
Outline duration of side effects from OCPs
Key Point
Most minor side effects from OCPs resolve within 3 months.
Explanation
Most of the minor side effects of OCPs, including breakthrough bleeding, will
resolve within 3 months if they are going to resolve at all. Women should
NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
,NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
, NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
co
therefore be encouraged to wait at least that long prior to discontinuing or
changing contraception secondary to side effects.
A follow-up visit after 2 to 3 months is recommended for women using oral
contraceptives. At this time persisting side effects can be addressed and a
new pill chosen if indicated. Blood pressure should be measured and
instructions for management of missed pills reviewed.
Reference:
Zieman M. Overview of contraception. In: Basow DS, ed. UpToDate. Accessed
September 12, 2012.
Question
2
Report Question
A 25-year-old patient presents with a urinary tract infection and was prescribed
sulfamethoxazole/trimethoprim to treat the infection. She is concerned that the
antibiotic will interfere with the effectiveness of her oral contraceptive pills. How
should this patient be counseled regarding her use of antibiotics and oral
NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
, NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
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contraceptive pills (OCPs)?
Antibiotics are teratogenic and she
should completely avoid sexual
contact while taking
them.
She should use a back-up method of
contraception while taking antibiotics.
She should request a different
antibiotic because
sulfamethoxazole/trimethoprim may
reduce the effectiveness of her OCP.
She should use a back-up method of
contraception until the onset of her
next menses.
Taking sulfamethoxazole/trimethoprim
will not
alter the effectiveness of her OCPs.
Rifampin is the only proven antibiotic to decrease serum ethinyl estradiol and
progestin levels in women taking OCPs. A nonhormonal contraceptive method is
recommended in women prescribed rifampin, but not other antibiotics. Rifampin
may also decrease the effectiveness of transdermal and vaginal ring
NURS 629-2022/20223 Womens health med challenger
questions with answers verified and elaborated 100%
guaranteed success
