nurs 629womens health med challenger all questions with answers correctly verified and elaborated100 guaranteed success
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NURS 629 Womens health med challenger questions
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Question
1
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Although women may experience some "nuisance" type of side effects while on
oral contraceptives (OCPs), how long should they be encouraged to wait for
resolution of these effects?
1 month
3 months
6 months
Educational Objective
Outline duration of side effects from OCPs
Key Point
Most minor side effects from OCPs resolve within 3 months.
Explanation
Most of the minor side effects of OCPs, including breakthrough bleeding,
resolve within 3 months if they are going to resolve at all. Women should
NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
guaranteed success
,NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
guaranteed success
therefore be encouraged to wait at least that long prior to discontinuing or
changing contraception secondary to side effects.
A follow-up visit after 2 to 3 months is recommended for women using oral
contraceptives. At this time persisting side effects can be addressed and a
new pill chosen if indicated. Blood pressure should be measured and
instructions for management of missed pills reviewed.
Reference:
Zieman M. Overview of contraception. In: Basow DS, ed. UpToDate. Accessed
September 12, 2012.
Question
2
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A 25-year-old patient presents with a urinary tract infection and was prescribed
sulfamethoxazole/trimethoprim to treat the infection. She is concerned that the
antibiotic will interfere with the effectiveness of her oral contraceptive pills. How
NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
guaranteed success
,NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
guaranteed success
should this patient be counseled regarding her use of antibiotics and oral
contraceptive pills (OCPs)?
Antibiotics are teratogenic and she
should completely avoid sexual
contact while taking
them.
She should use a back-up method of
contraception while taking antibiotics.
She should request a different
antibiotic because
sulfamethoxazole/trimethoprim may
reduce the effectiveness of her OCP.
She should use a back-up method of
contraception until the onset of her
next menses.
Taking sulfamethoxazole/trimethoprim
will not
alter the effectiveness of her OCPs.
Rifampin is the only proven antibiotic to decrease serum ethinyl estradiol and
progestin levels in women taking OCPs. A nonhormonal contraceptive method is
NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
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, NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
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recommended in women prescribed rifampin, but not other antibiotics. Rifampin
may also decrease the effectiveness of transdermal and vaginal ring
contraception. Despite anecdotal reports of OCP failure, other antibiotics have
not been shown to alter the pharmacokinetics of oral contraception. Therefore,
in the case described, no back-up contraception is necessary.
Reference:
Martin KA, Barbieri RL. Overview of the use of estrogen-progestin
contraceptives. In: Basow DS, ed. UpToDate. Accessed September 12,
2012.
Question 3
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A 30-year-old 32-weeks’ pregnant woman with pre-gestational diabetes reports
vulvar itching, burning, and a whitish-thick discharge for the past 7 days. Exam
demonstrates diffuse erythema of the vulva and vagina, with a thick white
NURS 629 Womens health med challenger questions
with answers 100% verified and elaborated
guaranteed success
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