FNP 2 N5431 – End Term Exam (Female
GU/Reproductive) – A+ Graded
What is a contraindication to combined oral contraception (COC)? - ✔✔presence of factor V Leiden
mutation
A 22-year-old woman taking 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2
consecutive days, she is 2 weeks into the pack. What do you advise her to do? - ✔✔Take 2 pills today
and 2 pills tomorrow
Counseling a woman about COC use, you often advise: - ✔✔Premenstrual syndrome symptoms are
often improved with use of COC
Noncontraceptive benefits of COC use include a decrease in all of the following: - ✔✔iron-deficiency
anemia; pelvic inflammatory disease (PID); ovarian cancer. But NOT: cervicitis
A good candidate for a progesterone only pill (POP) is: - ✔✔A 32-year-old woman breastfeeding a 4-
week-old infant
A 38-year-old nulliparous woman who smokes 2.5 ppd is in an "on-and-off" relationship and presents
seeking contraception, what is the most appropriate method? - ✔✔Vaginal diaphragm
True or false: After vaginal diaphragm insertion, the cervix should be smoothly covered. - ✔✔True
According to WHO guidelines, which clinical condition would cause a provider to approach use of a
copper-containing IUD with caution? - ✔✔Hypertension
27-year-old woman taking Phenytoin (Dilantin) for seizure disorder treatment requests hormonal
contraception. Which is most appropriate choice? - ✔✔Depo-Provera use will most likely not interfere
with seizure medication.
, What is most commonly found after 1 year of Depo-Provera use? - ✔✔Weight gain
What advice would the provider give to a patient newly prescribed COC containing progestin
drospirenone (Yasmin, Yaz)? - ✔✔Avoid using potassium-containing salt substitutes
With genitourinary tract exposure to the spermicide nonoxynol-9, a woman is likely at increased risk for:
- ✔✔urinary tract infection
With the use of levonorgestrel intrauterine system (Mirena), what is normally noted? - ✔✔Reduction in
menstrual flow
The reductions in free androgens noted in a woman using COC can yield an improvement in: - ✔✔acne
vulgaris
The recommended length of use of Depo-Provera is: - ✔✔no more than 2 years
When can a woman safely conceive after discontinuing COC? - ✔✔immediately
Women who have trouble remembering to take a daily pill are often good candidates for: - ✔✔Ortho
Evra (contraceptive patch) or NuvaRing (vaginal ring)
According to WHO guidelines, the only one of the following who is not a candidate for a copper-
containing IUD is:
A. 45-year-old with fibroids with uterine cavity distortion
B. 33-year-old smokes 2 ppd
C. 25-year-old with hypertension
D. 33-year-old with low-grade squamous intraepithelial lesions noted on Pap test - ✔✔A. 45-year-old
with fibroids with uterine cavity distortion
According to WHO guidelines, who is a COC candidate?
A. 22-year-old smokes 1 ppd
GU/Reproductive) – A+ Graded
What is a contraindication to combined oral contraception (COC)? - ✔✔presence of factor V Leiden
mutation
A 22-year-old woman taking 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2
consecutive days, she is 2 weeks into the pack. What do you advise her to do? - ✔✔Take 2 pills today
and 2 pills tomorrow
Counseling a woman about COC use, you often advise: - ✔✔Premenstrual syndrome symptoms are
often improved with use of COC
Noncontraceptive benefits of COC use include a decrease in all of the following: - ✔✔iron-deficiency
anemia; pelvic inflammatory disease (PID); ovarian cancer. But NOT: cervicitis
A good candidate for a progesterone only pill (POP) is: - ✔✔A 32-year-old woman breastfeeding a 4-
week-old infant
A 38-year-old nulliparous woman who smokes 2.5 ppd is in an "on-and-off" relationship and presents
seeking contraception, what is the most appropriate method? - ✔✔Vaginal diaphragm
True or false: After vaginal diaphragm insertion, the cervix should be smoothly covered. - ✔✔True
According to WHO guidelines, which clinical condition would cause a provider to approach use of a
copper-containing IUD with caution? - ✔✔Hypertension
27-year-old woman taking Phenytoin (Dilantin) for seizure disorder treatment requests hormonal
contraception. Which is most appropriate choice? - ✔✔Depo-Provera use will most likely not interfere
with seizure medication.
, What is most commonly found after 1 year of Depo-Provera use? - ✔✔Weight gain
What advice would the provider give to a patient newly prescribed COC containing progestin
drospirenone (Yasmin, Yaz)? - ✔✔Avoid using potassium-containing salt substitutes
With genitourinary tract exposure to the spermicide nonoxynol-9, a woman is likely at increased risk for:
- ✔✔urinary tract infection
With the use of levonorgestrel intrauterine system (Mirena), what is normally noted? - ✔✔Reduction in
menstrual flow
The reductions in free androgens noted in a woman using COC can yield an improvement in: - ✔✔acne
vulgaris
The recommended length of use of Depo-Provera is: - ✔✔no more than 2 years
When can a woman safely conceive after discontinuing COC? - ✔✔immediately
Women who have trouble remembering to take a daily pill are often good candidates for: - ✔✔Ortho
Evra (contraceptive patch) or NuvaRing (vaginal ring)
According to WHO guidelines, the only one of the following who is not a candidate for a copper-
containing IUD is:
A. 45-year-old with fibroids with uterine cavity distortion
B. 33-year-old smokes 2 ppd
C. 25-year-old with hypertension
D. 33-year-old with low-grade squamous intraepithelial lesions noted on Pap test - ✔✔A. 45-year-old
with fibroids with uterine cavity distortion
According to WHO guidelines, who is a COC candidate?
A. 22-year-old smokes 1 ppd
