EXAM 1 : NU 664D / NU664D (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
PRIMARY CARE ADULT WOMAN I | QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) - REGIS
Women who are breastfeeding <21 days pp can use which
form(s) of contraception? .....ANSWER.....Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 21-30 days pp can use which
form(s) of contraception? .....ANSWER.....Progestin only pill
DMPA
Nexplanon
Women who are breastfeeding 31-42 days pp can use which
form(s) of contraception? .....ANSWER.....Progestin only pill
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DMPA
Nexplanon
Can use CHC if no risk factors for VTE, although least
recommended
What forms of contraception should breastfeeding women
NEVER use .....ANSWER.....IUD (both types)
CHC is the least recommended but can be used >30 days PP
depending on risk factors for VTE
LNG IUD TYPES and their expiration .....ANSWER.....Mirena or
Liletta: 52 mg: 8 years
Kyleena: 19.5 mg: 5 years
Sklya: 13.5 mg: 3 years
LNG IUD MOA .....ANSWER.....1. Thickens cervical mucus
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2. Produces atrophic endometrium
3. Slows ovum transport through tube
3. Inhibits sperm motility and function
4. foreign body placement triggers immune response and creates
cytotoxic environment that sperm cannot survive in
LNG-IUD contraindications .....ANSWER.....IUD in general
-cervical dysplasia/cancer
-cervicitis
-current infection w/ gonorrhea, chlamydia
-distorted uterine cavity
-current PID
-pregnancy
-unexplained vaginal bleeding
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LNG IUD
-hx of or current breast cancer
-severe cirrhosis
-SLE
LNG IUD side effects .....ANSWER.....-acne
-weight gain
-headaches
-menstrual irregularities: may have cramping, increased
bleeding/spotting within first 3 months after insertion
-oligomenorrhea or amenorrhea (typically later, months after
use)
-nausea
-hirsutism
-mood changes