NUR 113: Unit 1 Exam UPDATED ACTUAL
Questions and CORRECT Answers
Intrauterine Device (IUD) - CORRECT ANSWER - Expect sharp cramping during insertion, light spotting for 1-2
days after insertion, irregular bleeding for a few months
-IUD is 99% effective
-DO NOT place anything in the vagina for the first 24 hours after insertion
PAINS sign aka potential complications sign:
P: period late (pregnancy)
A: abdominal pain, pain after intercourse
I: infection exposure or vaginal discharge
N: not feeling well, fever, chills
S: strings missing, shorter or longer than expected IUD may be misplaced.
Diaphragm - CORRECT ANSWER - - Can be inserted into the vagina up to 6 hours before intercourse, and it
MUST be filled with a spermicide applied inside and along the rim before insertion.
- MUST remain in place for at least 6 hours after intercourse. If intercourse occurs again before 6 hours have elapsed, the
diaphragm should be left undisturbed and another applicator of spermicide should be inserted into the vagina.
- SHOULD remain in place for 6 HRS after the LAST act of intercourse.
* To ensure continued protection...diaphragm should be replaced every 2 years, and may need to be refitted after weight
loss or weight gan, term birth, or second trimester abortion
Oral contraceptives and Missed doses - CORRECT ANSWER - -Ensure pt takes the doses at the SAME time
everyday and DO NOT skip doses. If they miss a dose be sure to teach them to take it as soon as they realized dose is
missed and to resume to normal schedule.
Contraindication for taking a combined oral contraceptive - CORRECT ANSWER - - Cigarrette smoking (at least
15 a day) and age greater than 35, uncontrolled hypertension, undiagnosed abnormal vaginal bleeding, diabetes of more
than 20 years, hx of blood clots, PE, DVT, or CHF, cerebrovascular diseases, severe migraine headaches- may have
headaches but not severe, estrogen-dependent neoplasia, known/suspected breast cancer, active liver disease, known or
suspected pregnancy, hx of complications from organ transplants, kidney or adrenal gland insufficiency, liver disease.
Clinical manifestations to report to the provider when taking oral contraceptives - CORRECT ANSWER - -Chest
pain, SOB, severe headache or vision changes, leg pain or swelling, hypertension.
Birth control-most EFFECTIVE choice - CORRECT ANSWER - The most effective choice of birth control to
prevent pregnancy and STDS is ABSTINENCE!
What is spinnbarkeit - CORRECT ANSWER - Increased estrogen secretion by the ovaries, produces changes in
the cervical mucus that help sperm successfully locate the ovum. Cervical mucus dramatically increases in amount and
quality. It becomes watery and clear, creating a pathway for sperm to readily swim through the cervix. The elasticity
(spinnbarkeit) of the cervical mucus increases, and the woman can assess this change by stretching the mucus between
her fingers.
-Another method of assessment involves stretching the cervical mucus between two glass slides. At the time of ovulation,
the cervical mucus can be stretched to 8-10 cm or longer. If the mucus is thin, watery, and stretchable, the woman is ready
to concieve.
-Some females will also experience mittelschmerz, which is pain/discomfort in the lower abdomen on the side in which
the ovary is ovulating, which may be confused with other medical conditions such as appendicitis and ectopic pregnancy.
*Breast tenderness is often another bodily symptom that many females will experience during ovulation.
Pelvic Inflammatory Disease: PT teaching - CORRECT ANSWER - - A client who has been diagnosed with PID
should avoid frequent douching because it decreases the natural flora that controls the growth of infectious organisms.
-Wear cotten undergarments, and clothes should not fit tightly.
-Intrauterine devices increase the clients susceptibility to infection
- Sanitary pads need to be chnaged at LEAST every 4 hours. Tampons would not be used during the acute infection, some
primary health care providers may recommend avoiding them indefinitely.
Questions and CORRECT Answers
Intrauterine Device (IUD) - CORRECT ANSWER - Expect sharp cramping during insertion, light spotting for 1-2
days after insertion, irregular bleeding for a few months
-IUD is 99% effective
-DO NOT place anything in the vagina for the first 24 hours after insertion
PAINS sign aka potential complications sign:
P: period late (pregnancy)
A: abdominal pain, pain after intercourse
I: infection exposure or vaginal discharge
N: not feeling well, fever, chills
S: strings missing, shorter or longer than expected IUD may be misplaced.
Diaphragm - CORRECT ANSWER - - Can be inserted into the vagina up to 6 hours before intercourse, and it
MUST be filled with a spermicide applied inside and along the rim before insertion.
- MUST remain in place for at least 6 hours after intercourse. If intercourse occurs again before 6 hours have elapsed, the
diaphragm should be left undisturbed and another applicator of spermicide should be inserted into the vagina.
- SHOULD remain in place for 6 HRS after the LAST act of intercourse.
* To ensure continued protection...diaphragm should be replaced every 2 years, and may need to be refitted after weight
loss or weight gan, term birth, or second trimester abortion
Oral contraceptives and Missed doses - CORRECT ANSWER - -Ensure pt takes the doses at the SAME time
everyday and DO NOT skip doses. If they miss a dose be sure to teach them to take it as soon as they realized dose is
missed and to resume to normal schedule.
Contraindication for taking a combined oral contraceptive - CORRECT ANSWER - - Cigarrette smoking (at least
15 a day) and age greater than 35, uncontrolled hypertension, undiagnosed abnormal vaginal bleeding, diabetes of more
than 20 years, hx of blood clots, PE, DVT, or CHF, cerebrovascular diseases, severe migraine headaches- may have
headaches but not severe, estrogen-dependent neoplasia, known/suspected breast cancer, active liver disease, known or
suspected pregnancy, hx of complications from organ transplants, kidney or adrenal gland insufficiency, liver disease.
Clinical manifestations to report to the provider when taking oral contraceptives - CORRECT ANSWER - -Chest
pain, SOB, severe headache or vision changes, leg pain or swelling, hypertension.
Birth control-most EFFECTIVE choice - CORRECT ANSWER - The most effective choice of birth control to
prevent pregnancy and STDS is ABSTINENCE!
What is spinnbarkeit - CORRECT ANSWER - Increased estrogen secretion by the ovaries, produces changes in
the cervical mucus that help sperm successfully locate the ovum. Cervical mucus dramatically increases in amount and
quality. It becomes watery and clear, creating a pathway for sperm to readily swim through the cervix. The elasticity
(spinnbarkeit) of the cervical mucus increases, and the woman can assess this change by stretching the mucus between
her fingers.
-Another method of assessment involves stretching the cervical mucus between two glass slides. At the time of ovulation,
the cervical mucus can be stretched to 8-10 cm or longer. If the mucus is thin, watery, and stretchable, the woman is ready
to concieve.
-Some females will also experience mittelschmerz, which is pain/discomfort in the lower abdomen on the side in which
the ovary is ovulating, which may be confused with other medical conditions such as appendicitis and ectopic pregnancy.
*Breast tenderness is often another bodily symptom that many females will experience during ovulation.
Pelvic Inflammatory Disease: PT teaching - CORRECT ANSWER - - A client who has been diagnosed with PID
should avoid frequent douching because it decreases the natural flora that controls the growth of infectious organisms.
-Wear cotten undergarments, and clothes should not fit tightly.
-Intrauterine devices increase the clients susceptibility to infection
- Sanitary pads need to be chnaged at LEAST every 4 hours. Tampons would not be used during the acute infection, some
primary health care providers may recommend avoiding them indefinitely.
