NURS 682 ACTUAL EXAM I SPRING EXAM QUESTIONS
WITH CORRECT AND VERIFIED DETAILED ANSWERS
NEWEST VERSION 2024 ALREADY A GRADED
For women who still have an intact uterus, HRT should consist of:
Estrogen and progesterone
For women who do NOT have an intact uterus, HRT should consist of:
Estrogen ONLY
How long is the trial period for HRT, after counseling?
3 months FOLLOWED BY annual review.
Common adverse effects of HRT:
Bleeding
Headache
Breast tenderness
Mood symptoms
Bloating
Contraindications of HRT:
History of breast cancer
CHD
A previous venous thromboembolic event or stroke
Active liver disease
Unexplained vaginal bleeding
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High-risk endometrial cancer
Transient ischemic attack
Lupus
*REFER these patients*
NEVER give HRT to a patient with a history of:
ANY TYPE of clotting disorder!! (Stroke, TIA, ect.)
Progesterone ONLY contraception is NOT as effective as combination, therefore healthcare
providers must educate on the following:
Take your BC at the same time everyday.
Do not miss a single dose.
Always use back-up contraception.
Can cause breakthrough bleeding or spotting.
Progesterone ONLY contraception is best for:
Breast feeding mothers (Minipills)
Combination contraception contains:
Progesterone and estrogen.
Before Nexplanon is prescribed, patients should try:
Depovera.
Copper IUD's contraception is best for:
Basically anyone, at any age, regardless of contraindications for other contraceptives.
What are the 3 different forms of EMERGENCY contraception?
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Oral pills (Morning After Pill).
Copper T IUD (Paragard).
Selective progesterone receptor modulator.
Oral pills (Morning After Pill)
Must be taken within 72 hours of unprotected sex, major SE=nausea and vomiting, may
purchase OTC without a prescription by male and females 17 years and older, 75-90% effective
when used correctly.
SAFE IF ALREADY PREGNANT
Copper T IUD (ParaGard)
May be inserted within 120 hours or 5 days of unprotected sex- 99.8% effective, must be
inserted by trained healthcare professional, contraindications are same as for IUD.
WILL INTERRUPT A CURRENT PREGNANCY
Progesterone receptor modulator
**Newest form of EC**
FDA approved 8/2010- single dose of 30 mg within 120 hours or 5 days of unprotected sex- 98%
effective- contraindicated in breastfeeding or pregnant women-
**pregnancy test required**
**prescription only**
WILL INTERRUPT A CURRENT PREGNANCY
Which of the 3 types of emergency contraception interrupt a pregnancy, if it already exists?
Copper IUD
Progesterone receptor modulator
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Presenting signs and symptoms of Endometriosis:
20% of women with chronic pelvic pain and 30-40% of women with infertility have
endometriosis however definitively diagnosed via surgery.
Hallmark is cyclic pelvic pain prior to menses peaking 1-2 days prior to onset then subsiding
prior to onset.
How is endometriosis diagnosed?
Requires direct visualization by laparoscopy or laparotomy.
Classic lesions: blue-black ("raspberry") or dark brown ("powder-burned") appearance
Ovaries may have endometriomas (characteristic "chocolate cysts").
How is endometriosis treated?
NSAIDs
Cyclic or continuous combination OC's
Progestins (Menstrual suppression)
Adenomyosis is diagnosed with:
MRI (Pelvic US can work and is often RX d/t MRI cost). This is where endometrial-like tissue
grows into the muscle of your uterus.
What is an NP's treatment plan for Adenomyosis?
Order an abdominal-pelvic US and REFER to OB-Gyn.
Adenomyosis vs. Endometriosis
The difference between these conditions is where the tissue grows.
Adenomyosis: Endometrial-like tissue grows into the muscle of your uterus.
Endometriosis: Endometrial-like tissue grows outside your uterus in places like your ovaries or
fallopian tubes.
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