Deck 54: Contraceptives

Question 1

A primary care NP prescribes a COCP for a woman who is taking them for the first time.After teaching,the woman should correctly state the need for using a backup form of contraception if she:

A) is having vomiting or diarrhea.
B) delays taking a pill by 5 or 6 hours.
C) takes nonsteroidal antiinflammatory drugs several days in a row.
D) has recurrent headaches or insomnia.

Answer 1

is having vomiting or diarrhea.

Question 2

The primary care NP prescribes an extended-cycle monophasic pill regimen for a young woman who reports having multiple partners.Which statement by the patient indicates she understands the regimen?

A) "I have to take a pill only every 3 months."
B) "I should expect to have only four periods each year."
C) "I will need to use condoms for only 7 more days."
D) "This type of pill has fewer side effects than other types."

Answer 2

"I should expect to have only four periods each year."

Question 3

A sexually active patient tells the primary care NP that she has been unable to get her new COCP pill pack until today and has missed 3 days of pills.The NP should tell her to:

A) use backup contraception and take 2 pills each day for the next 2 days.
B) begin a new pack of pills today and use backup contraception for 7 days.
C) begin a new pack of pills today, take a Plan B pill, and use backup contraception for 7 days.
D) Take a pregnancy test, begin a new pack of pills today, and use backup contraception for 7 days.

Answer 3

begin a new pack of pills today, take a Plan B pill, and use backup contraception for 7 days.

Question 4

A woman who has been taking a COCP tells the primary care NP that,because of frequent changes in her work schedule,she has difficulty remembering to take her pills.The woman and the NP decide to change to a vaginal ring.The NP will instruct her to insert the ring:

A) within 7 days after her last active pill.
B) and use a backup contraceptive for 7 days.
C) and continue the COCP for one more cycle.
D) on the same day she stops taking her COCP.

Question 5

A woman who has been taking a COCP for 2 months tells the primary care NP that she has had several headaches,breakthrough bleeding,and nausea.The NP should counsel the woman:

A) to change to a progestin-only pill.
B) to stop taking the COCP immediately.
C) to use a backup form of contraception.
D) that these effects will likely decrease in another month.

Question 6

A primary care NP prescribes a COCP for a woman who has never taken oral contraceptives before.The woman is in a monogamous relationship,and she and her partner have been using condoms and wish to stop using them.Her last period was 1 week ago.The NP should:

A) perform an in-office pregnancy test before starting a COCP.
B) tell the patient to begin the first pill today and to continue using condoms for 7 days.
C) tell the patient to begin the first pill on the Sunday of or following her next menstrual period.
D) tell the patient to begin the first pill today and to return in 2 weeks for a pregnancy test.

Question 7

A woman who is taking a progestin-only pill has just stopped nursing her 9-month-old infant and tells the primary care NP that she would like to space her children about 2 years apart.The NP should:

A) discontinue the progestin-only pill.
B) prescribe a COCP and a folic acid supplement.
C) prescribe a progestin-only pill for another 6 months.
D) suggest that she use a barrier method of contraception.

Question 8

An adolescent girl has chosen Depo-Provera as a contraceptive method and tells the primary care NP that she likes the fact that she won't have to deal with pills or periods.The primary care NP should tell her that she:

A) should consider another form of contraception after 1 year.
B) may have irregular bleeding, especially in the first month or so.
C) will need to take calcium and vitamin D every day while using this method.
D) will have to take oral contraceptive pills in addition to Depo-Provera when she takes antibiotics.

Question 9

A woman who began taking a COCP 2 months ago calls the primary care NP to report having nausea every day.She takes a pill at the same time each morning.The NP should tell her to:

A) try taking the pill in the evening each day.
B) come to the clinic for a urine pregnancy test.
C) take the pill on an empty stomach with water.
D) stop taking the pill for 7 days and then restart.

Question 10

A 40-year-old woman tells the primary care nurse practitioner (NP)that she does not want more children and would like a contraceptive.She does not smoke and has no personal or family history of cardiovascular disease.She has frequent tension headaches.For this patient,the NP should prescribe:

A) condoms.
B) tubal ligation.
C) monophasic combined oral contraceptive pill (COCP).
D) low-estrogen COCP.

Question 11

A woman who uses a transdermal contraceptive calls the primary care NP to report that while dressing that morning she discovered that the patch had come off and she was unable to find the patch.The NP should tell her to apply a new patch and:

A) take one cycle of COCPs.
B) take a home pregnancy test.
C) use condoms for the next 7 days.
D) contact the clinic if she misses a period.

Question 12

A postpartum woman will begin taking the minipill while she is nursing her infant.The primary care NP should instruct the patient:

A) to use backup contraception while taking the minipill.
B) to continue using the minipill for 6 months after she stops nursing.
C) that irregular periods while taking the minipill may indicate she is pregnant.
D) that this method does not increase her risk of thromboembolic events.