NUR 2513 Maternal-Child Nursing Exam 1
Study Guide Questions And Answers Form A
Rasmussen College
How is an intrauterine device (IUD) administered?
- mall plastic device that is inserted into the uterus through the vagina.
Add copper to device to decrease sperms ability to cross the uterine space.
How effective are intrauterine devices (IUDs)?
- >99%
ParaGard (CopperT380: nonhormonal) effective for 10 years.
Mirena or Liletta (levonorgestrel: hormonal) effective for 5 years (up to 7)
What are contraindications for IUDs?
- abnormalities in uterine shape such as bicornate uterus (pictured below) or uterine
septums
How does the Depo provera work?
- inhibits ovulation, alters the endometrium, and thickens the cervical mucus so sperm
progress is difficult
How is Depo provera administered?
- IM progesterone injection given every 12 weeks (3 months)
How effective is Depo provera?
- Almost 100%
,What are the contraindications for Depo provera?
- Should be used cautiously in diabetic patients because is may impair glucose
tolerance.
Increase risk for osteoporosis (need 1,200 mg/day calcium)
What are the common S/E of Depo provera?
- Headache, weight gain, depression, irregular/heavy menstrual cycles for 1 year, then
no bleeding after 1st year.
How does Natural Family Planning (NFP) work?
- Periodic abstinence methods that involve no introduction of chemical or foreign
material into the body
How effective is Natural Family Planning (NFP)?
- NFP carries a failure rate of 2%-25%.
What are barrier methods and how do they work?
- Male/Female condoms: failure= 5-15%
Diaphragms: w/ spermicide failure= 6%-18%
Sponge: failure= 16%-20%
Cervical Cap: failure= 23%-35% (higher bc cap dislodge easily during coitus)
How should a diaphragm fit?
- snugly in the vagina blocking sperm from entering the cervix.
- Factors that will influence this fit might include significant weight changes (increase or
decrease)
, What does a pap smear test for?
- looks for precancers, cell changes on the cervix that might become cervical cancer if
they are not treated appropriately.
When are pap smears recommended?
- Between the ages of 21-29, women whose Pap smears are normal only need it
repeated every three years.
What is syphilis and how is it treated?
- Sexually transmitted bacterial infection contracted through direct contact with a
chancre.
Treated w/ Penicillin G- IM injection
What are the S/S of syphilis (each of 3 stages)?
- Primary: firm, round, painless sore at original site of infection
- Secondary (systemic infection): Skin rash, swollen lymph nodes, general flu-like
symptoms
Asymptomatic in latent phase of secondary stage.
- Tertiary: SEVERE medical problems affect the heart, brain, and other organs.
What is chlamydia and how is it treated?
- Gram-negative bacterial infection that is spread through sexual fluids during vaginal,
anal, or oral sex.
Treatment: Zithromax 1g PO x1
Study Guide Questions And Answers Form A
Rasmussen College
How is an intrauterine device (IUD) administered?
- mall plastic device that is inserted into the uterus through the vagina.
Add copper to device to decrease sperms ability to cross the uterine space.
How effective are intrauterine devices (IUDs)?
- >99%
ParaGard (CopperT380: nonhormonal) effective for 10 years.
Mirena or Liletta (levonorgestrel: hormonal) effective for 5 years (up to 7)
What are contraindications for IUDs?
- abnormalities in uterine shape such as bicornate uterus (pictured below) or uterine
septums
How does the Depo provera work?
- inhibits ovulation, alters the endometrium, and thickens the cervical mucus so sperm
progress is difficult
How is Depo provera administered?
- IM progesterone injection given every 12 weeks (3 months)
How effective is Depo provera?
- Almost 100%
,What are the contraindications for Depo provera?
- Should be used cautiously in diabetic patients because is may impair glucose
tolerance.
Increase risk for osteoporosis (need 1,200 mg/day calcium)
What are the common S/E of Depo provera?
- Headache, weight gain, depression, irregular/heavy menstrual cycles for 1 year, then
no bleeding after 1st year.
How does Natural Family Planning (NFP) work?
- Periodic abstinence methods that involve no introduction of chemical or foreign
material into the body
How effective is Natural Family Planning (NFP)?
- NFP carries a failure rate of 2%-25%.
What are barrier methods and how do they work?
- Male/Female condoms: failure= 5-15%
Diaphragms: w/ spermicide failure= 6%-18%
Sponge: failure= 16%-20%
Cervical Cap: failure= 23%-35% (higher bc cap dislodge easily during coitus)
How should a diaphragm fit?
- snugly in the vagina blocking sperm from entering the cervix.
- Factors that will influence this fit might include significant weight changes (increase or
decrease)
, What does a pap smear test for?
- looks for precancers, cell changes on the cervix that might become cervical cancer if
they are not treated appropriately.
When are pap smears recommended?
- Between the ages of 21-29, women whose Pap smears are normal only need it
repeated every three years.
What is syphilis and how is it treated?
- Sexually transmitted bacterial infection contracted through direct contact with a
chancre.
Treated w/ Penicillin G- IM injection
What are the S/S of syphilis (each of 3 stages)?
- Primary: firm, round, painless sore at original site of infection
- Secondary (systemic infection): Skin rash, swollen lymph nodes, general flu-like
symptoms
Asymptomatic in latent phase of secondary stage.
- Tertiary: SEVERE medical problems affect the heart, brain, and other organs.
What is chlamydia and how is it treated?
- Gram-negative bacterial infection that is spread through sexual fluids during vaginal,
anal, or oral sex.
Treatment: Zithromax 1g PO x1
