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Birth Control Methods Questions for CNM/WHNP Exam Questions and Answers (100% Pass)
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Birth Control Methods Questions for CNM/WHNP Exam Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PMBirth Control Methods Questions for CNM/WHNP
Exam Questions and Answers (100% Pass)
Your patient wants to use spermicide as a method of contraception. How long should
they leave the spermicide in place for following last intercourse? - ✔️✔️6 hours
Your patient wants to use FemCap (cervical cap). How soon should they insert the cap
prior to intercourse? - ✔️✔️15 mins prior to intercourse to create suction.
Your patient wants to use FemCap (cervical cap). In addition to the cap itself what else
must this person pair the cap with? - ✔️✔️Spermicide (nonoxynol-9).
Your patient wants to use FemCap (cervical cap). How long can they leave the cervical
cap in place after sex? - ✔️✔️Leave in place for at least 6h and no more than 48h after
sex.
Your patient wants to use the contraceptive sponge. How long should they leave the
sponge in place after sex? What is the maximum amount of time they can leave the
sponge in after sex? - ✔️✔️Leave in place for at least 6 hours after last intercourse. Do
not wear the sponge for more than 24-30h.
How long is a Cu IUD effective for? - ✔️✔️10 years
How long is the Skyla effective for? - ✔️✔️3 years
How long is the Liletta effective for? - ✔️✔️5 years
How long is the Mirena effective for? - ✔️✔️5 years
How long is the Kyleena effective for? - ✔️✔️5 years
Your patient wants to start using the Paragard and they want to know how it works.
What are the Paragards 3 MOAs? - ✔️✔️(1) inhibit sperm capacitation
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
(2) alters tubal/uterine transport of ovum
(3) enzymatic influence on endometrium
Your patients wants to start a LNG-IUD (progestin influence) and they want to know how
it works. What are the LNG-IUD 4 MOAs? - ✔️✔️(1) thickens cervical mucus
(2) produces atrophic endometrium
(3) slows ovum transport through tube
(4) inhibits sperm motility and fxn
Does NOT prevent ovulation.
Your patient wants to start an IUD and is worried about PID. How many days are you at
risk for PID after initial insertion IUD? - ✔️✔️20 days.
Your patient wants to start an LNG-IUD but heard that they have to wait for their next
period in order to initiate. What do you tell them? - ✔️✔️Not necessary to wait for menses
if can be reasonably certain that patient is not pregnant.
Your patient has just given birth. What do you know about intervals for IUD placement? -
✔️✔️Safe to place within 48h after delivery (vaginal or cesarean) or 4 weeks PP.
What is the risk of placing an IUD between >48h after delivery or <4 weeks PP? -
✔️✔️Increased risk of uterine perforation.
Your patient has just received a Cu-IUD. What do you advise them regarding use of a
back up method? - ✔️✔️Back up method not necessary after placement of Cu-IUD.
Your patient has just received a LNG-IUD. What do you advise them regarding use of a
back up method? - ✔️✔️Use a barrier method for the next 7 days.
Your patient received a Cu-IUD 3 months ago and is complaining of irregular bleeding.
What do you explain to them regarding the bleeding and what do you advise as
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treatment? - ✔️✔️Irregular bleeding is common for the first 3 - 6 months of Cu-IUD.
Advise 5-7d NSAID to reduce bleeding.
Your patient received a LNG-IUD 2 months ago and has been experiencing cramping,
spotting, and dyspareunia. What are you concerned about for this patient? - ✔️✔️Partial
or complete expulsion, pregnancy
Your patient received a LNG-IUD 2 months ago and has been experiencing cramping,
spotting, and dyspareunia. You examine them and notice the IUD in the cervical canal.
What is this presentation called and how do you manage it? - ✔️✔️Partial expulsion
(1) Remove IUD
(2) R/o pregnancy + infection
(3) Replace IUD if patient desires
(4) Doxycycline for 5-7d
Your patient received a LNG-IUD 2 months ago and has been experiencing cramping,
spotting, and dyspareunia. They said that the other day they felt the IUD in the vagina
and were able to remove it with ease. What is this presentation called and how do you
manage it? - ✔️✔️Complete expulsion
(1) Remove IUD if not already fully removed
(2) R/o pregnancy test
(3) Replace IUD if patient desires
Your patient wants to get an LNG-IUD but they are nervous because when their sister
got an IUD she had PID. Your patient asks you if they can take prophylactic antibiotics.
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