GNRS 591 FINAL STUDY GUIDE QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED.| latest update 2024/25|

GNRS 591 FINAL STUDY GUIDE QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED. Subdermal implant: Nexplanon Nexplanon ingredient: progestin -Ovulation is inhibited by suppression of lutenizing hormone (LH surge) -A thick cervical mucus is created, hampering the transportation of sperm. -The activation of enzymes that permit the sperm to penetrate the ovum may be inhibited. -Slow tubal motility delaying sperm transport progesterone Progesteron contraindications: Hx of recent breast cancer Common adverse reactions include change to menstrual bleeding pattern, headache, vaginitis, weight increase, acne, breast pain, abdominal pain, and pharyngitis. Rarely can cause thrombosis and PE. progesterone Education: Good for 3 years; insert after no hormonal contraception in past month; best time of insertion is between day 1 and 5 of menstruation; if not inserted during these days, backup contraception for 7 days; may cause changes in bleeding pattern or amenorrhea; no follow-up unless reactions. Nexplanon implant How long is Nexplanon good? 3 years When to insert Nexplanon? between day 1 and 5 of menstruation; if not inserted during these days, backup contraception for 7 days Method of action: Functional spermicide; nonhormonal IUD: Paragard copper Contraindications: Pelvic infection, uterine cancer, copper allergy, Wilson disease, hx heavy menstruation IUD: Paragard copper Common adverse reactions include increased bleeding flow and duration, abdominal pain and cramping, and back pain. Serious reactions can include uterine and cervical perforation. IUD: Paragard copper Education: Good for 10 years; may increase duration and flow of bleeding; can be inserted anytime; works immediately; follow-up 4 to 6 weeks. IUD: Paragard copper How long is Paragard good? 10 years What is the main concern with Paragard? may increase duration and flow of bleeding IUD education mnemonic: PAINS P- period late, spotting or bleeding A- abdominal pain or pain with intercourse I- infection exposure N- not feeling well, fever or chills S- string missing, shorter or longer The IUDs Mirena and Skyla ingredient is ____ which is a form of: levonorgestrel, progesterone Contraindications include pelvic infection, uterine cancer, hx recent breast cancer: Hormonal IUDs: -Mirena -Skyla Education: Good for 5 years; decreases duration and flow of menses and usually leads to amenorrhea; initiate within 7 days of start of period otherwise use backup contraception for 7 days; follow-up 4 to 6 weeks. IUD: Mirena How long is Mirena good? 5 years When to initiate Mirena and Skyla