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NUR 148 ( LATEST 2024 / 2025 ) TEST 10 REVIEW | GRADED A+ QUESTIONS & ANSWERS
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NUR 148 ( LATEST 2024 / 2025 ) TEST 10 REVIEW | GRADED A+ QUESTIONS & ANSWERS
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NUR 148 Test 10 Review1. Emergency contraception
Answer
OTC and when to take after sex?
-Plan B One Step (AKA My Way, Take Action, Aftera, Next Choice One)= Single one dose
levonorgestrel pill & take within 72 hrs unprotected sex; OTC
-Ulipristal acetate (Ella)= antiprogestin agent; 8 states allow as OTC but SC is prescription only
& one 30 mg pill taken within 120 hrs unprotected sex
2. Emergency contraception
Answer
Prescription and when to take after sex?
-
-Ulipristal acetate (Ella)=prescription in SC
-IUD (Copper T)= abortifacient once conception has occurred
-RU 486 (mifepristone)= progesterone receptor modulator; abortifacient & some- times used
with other abortifacients
3. Who should take the Mini-pill & instructions for use?
Answer
AKA Micronor
-Women unable to tolerate estrogen and women during lactation
-Must be taken same time everyday!
4. COC contraindications?
Answer
-History of MI, CVA, DVT
-Major surgery with prolonged immobilization
, -Uncontrolled severe HTN
-Smoker > or = to 35 years
-Migraine with focal aura
-DM > 20 yrs
-Current breast or endometrial cancer
-Acute hepatitis
-Severe cirrhosis or cirrhosis flare
-Hepatocellular adenoma
-Hepatocellular carcinoma
-HTN with advanced vascular disease(retinopathy &nephropathy)
-Current pregnancy or lactation
5. COC side effects?
Answer
-Weight gain, spotting, breast tenderness, depression, break through bleeding
6. Meds that affect COC efficacy?
Answer
-Antimicrobials= Rifampin (TB treatment med), Griseofulvin (antifungal)
-Anti-Seizure meds= carbamazepine (Tegretol), lamatrogine (Lamictal), phenytoin (Dilantin),
phenobarbital, topiramate (Topamax)
-Anti-depressants= St. John's Wort, Protease inhibitors (treats HIV + women)
-Antibiotics do NOT affect efficacy, it is antimicrobials!
7. With COCs notify HCP...
Answer
"ACHES"
-Abdominal pain
-Chest pain
-Headaches
-Eye problems
-Severe leg pain
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