NRNP 6552
NRNP 6552 Women Health Final Exam
2025 UPDATED!!
How does copper IUD work? -Correct Answer ✔Causes an inflammatory response with
spermacidal response
How do levonorgestrel IUDs work? -Correct Answer ✔Release low doses of
progesterone daily to thicken cervical mucus
How long is the copper IUD good for? -Correct Answer ✔10 years
When can an IUD be inserted? -Correct Answer ✔At anytime pending negative
pregnancy test
When can an IUD be placed postpartum? -Correct Answer ✔4 weeks
What IUD can be used for emergency contraception? -Correct Answer ✔Copper IUD
Most common side effects of copper IUD? -Correct Answer ✔Prolonged heavy bleeding
and dysmenorrhea
Most common side effect of LNG IUDs? -Correct Answer ✔Unscheduled bleeding
Other side effects of LNG IUD? -Correct Answer ✔Lower abdominal pain
Acne
Back pain
Breast tenderness
Headaches
Mood changes
Nausea
Which device is approved for menorrhagia? -Correct Answer ✔Mirena
When does ovulation return following Nexplanon removal? -Correct Answer ✔6 weeks
Side effects of Nexplanon? -Correct Answer ✔Irregular bleeding and amenorrhea
Primary reason for removal of Nexplanon? -Correct Answer ✔Irregular bleeding
Define tubal occlusion -Correct Answer ✔Female sterilization in which the fallopian
tubes are permanently blocked, which prevents sperm from ascending the reproductive
tract and fertilizing an ovum
NRNP 6552
, NRNP 6552
Risk related to tubal occlusion -Correct Answer ✔Ectopic pregnancy
Define vasectomy -Correct Answer ✔Cutting or blocking of both vas deferens which are
the small tubes that carry sperm from the testes to become part of the seminal fluid
Benefit of combined oral contraceptives vs. progestin only -Correct Answer ✔More
predictable bleeding patterns due to stabilization of the endometrium with estrogen
Types of combined oral contraceptives -Correct Answer ✔Oral
Patch
Ring
Types of progestin only contraceptives -Correct Answer ✔IUD
Implant (Nexplanon)
Oral (POP, mini-pills)
Injection (Depo)
Long term combined oral contraceptive use increases the risk for -Correct Answer
✔Cervical cancer- this risk reduces following cessation
When can combined contraceptives be started in postpartum women? -Correct Answer
✔21 day postpartum due to risk for VTE
What is quick start for COCs? -Correct Answer ✔Beginning the pill at any time during
the menstrual cycle and using another form of contraception for 7 days
Contraindications to combined oral contraceptives -Correct Answer ✔Thromboembolic
disorders, CVD/CAD (stroke, heart attack, untreated hypertension), Breast
cancer/estrogen-dependent cancer, Liver (cirrhosis, liver tumor, gallbladder disease*),
Migraine with neurologic findings ("aura"), Diabetes with vascular involvement, Lactating
or < 6 weeks postpartum, Smoking, if 35+ years
True or false
Combined oral contraceptives increase the risk for breast cancer -Correct Answer
✔False
Benefits of combined oral contraceptive use -Correct Answer ✔Decreased ovarian and
endometrial cancers
Less ectopic pregnancies
Lower incidence of endometriosis
Less PID
Preserves fertility
Improved acne
NRNP 6552
NRNP 6552 Women Health Final Exam
2025 UPDATED!!
How does copper IUD work? -Correct Answer ✔Causes an inflammatory response with
spermacidal response
How do levonorgestrel IUDs work? -Correct Answer ✔Release low doses of
progesterone daily to thicken cervical mucus
How long is the copper IUD good for? -Correct Answer ✔10 years
When can an IUD be inserted? -Correct Answer ✔At anytime pending negative
pregnancy test
When can an IUD be placed postpartum? -Correct Answer ✔4 weeks
What IUD can be used for emergency contraception? -Correct Answer ✔Copper IUD
Most common side effects of copper IUD? -Correct Answer ✔Prolonged heavy bleeding
and dysmenorrhea
Most common side effect of LNG IUDs? -Correct Answer ✔Unscheduled bleeding
Other side effects of LNG IUD? -Correct Answer ✔Lower abdominal pain
Acne
Back pain
Breast tenderness
Headaches
Mood changes
Nausea
Which device is approved for menorrhagia? -Correct Answer ✔Mirena
When does ovulation return following Nexplanon removal? -Correct Answer ✔6 weeks
Side effects of Nexplanon? -Correct Answer ✔Irregular bleeding and amenorrhea
Primary reason for removal of Nexplanon? -Correct Answer ✔Irregular bleeding
Define tubal occlusion -Correct Answer ✔Female sterilization in which the fallopian
tubes are permanently blocked, which prevents sperm from ascending the reproductive
tract and fertilizing an ovum
NRNP 6552
, NRNP 6552
Risk related to tubal occlusion -Correct Answer ✔Ectopic pregnancy
Define vasectomy -Correct Answer ✔Cutting or blocking of both vas deferens which are
the small tubes that carry sperm from the testes to become part of the seminal fluid
Benefit of combined oral contraceptives vs. progestin only -Correct Answer ✔More
predictable bleeding patterns due to stabilization of the endometrium with estrogen
Types of combined oral contraceptives -Correct Answer ✔Oral
Patch
Ring
Types of progestin only contraceptives -Correct Answer ✔IUD
Implant (Nexplanon)
Oral (POP, mini-pills)
Injection (Depo)
Long term combined oral contraceptive use increases the risk for -Correct Answer
✔Cervical cancer- this risk reduces following cessation
When can combined contraceptives be started in postpartum women? -Correct Answer
✔21 day postpartum due to risk for VTE
What is quick start for COCs? -Correct Answer ✔Beginning the pill at any time during
the menstrual cycle and using another form of contraception for 7 days
Contraindications to combined oral contraceptives -Correct Answer ✔Thromboembolic
disorders, CVD/CAD (stroke, heart attack, untreated hypertension), Breast
cancer/estrogen-dependent cancer, Liver (cirrhosis, liver tumor, gallbladder disease*),
Migraine with neurologic findings ("aura"), Diabetes with vascular involvement, Lactating
or < 6 weeks postpartum, Smoking, if 35+ years
True or false
Combined oral contraceptives increase the risk for breast cancer -Correct Answer
✔False
Benefits of combined oral contraceptive use -Correct Answer ✔Decreased ovarian and
endometrial cancers
Less ectopic pregnancies
Lower incidence of endometriosis
Less PID
Preserves fertility
Improved acne
NRNP 6552
