Download Exams 1,2 & Final BUNDLED TOGETHER: NU664D/ NU 664D (NEW 2025/ 2026 Update)- Regis and more Exams Nursing in PDF only on Docsity!
QUESTION
Howl doesl Nexplanonl work Answer: thickensl cervicall mucus,l preventsl ovulation
QUESTION
Dosagel ofl Nexplanon Answer: singlel rob,l placedl subdermal,l 68mgl ofl etonegestrell (progesterone)
QUESTION
Educationl aboutl Nexplanonl insertion Answer: locall anestheticl tol thel innerl sidel ofl thel arml goesl betweenl bicepl andl tricepl muscle needle-likel applicatorl advancesl thel rod pressurel bandagel staysl onl forl 24 l hours removall - l smalll incisionl andl forceps
QUESTION
Howl longl isl al Nexplanonl goodl for
Exams l 1 ,2 & Final BUNDLED
TOGETHER: l NU664D/ l NU l 664D l (NEW l
2025/ l 2026 l Update) l Primary l Care l Adult l
Woman l I l | l Questions l & l Answers| l Grade l
A| l 100% l Correct l (Verified l Solutions)- l
Regis
Answer: threel years
QUESTION
Efficacyl ofl Nexplanon Answer: 0.5%
QUESTION
Advantagesl ofl Nexplanon Answer: nol estrogenl =l goodl forl breastfeeding immediatelyl reversible 20%l havel amenorrhea
QUESTION
Disadvantagesl ofl Nexplanon Answer: irregularl bleedingl forl 6 - 12 l months canl bel expensivel - l requiresl insurancel approval pain/scaringl atl incisionl site possiblel weightl gain HA,l acne,l ovarianl cysts,l moodl changesl (depression)
QUESTION
Whol isl notl al candidatel forl Nexplanon Answer: allergyl tol etongestrel,l liverl tumor,l undiagnosedl vaginall bleeding,l severel liverl disease,l beforel 6 l weeksl PP
QUESTION
failurel forl al hormonall IUD Answer: typicall 0.1%l perfectl 0.1%
QUESTION
Advantagesl ofl IUD Answer: decreasedl menstruall flow/pain,l amenorrhea,l long-lasting
QUESTION
disadvantagesl ofl hormonall IUD Answer: PID,l dysmenorrhea,l menorrhagia,l expulsion,l pregnancyl complicationsl (ectopic),l uterinel rupture
QUESTION
Patientl teachingl hormonall IUD Answer: expulsionl mostl commonl withinl firstl 6 - 8 l weeks needl GC/GTl testl beforel placement usel emergencyl contraceptionl ifl itl comesl out
QUESTION
Signsl ofl expulsion Answer: vaginall discharge,l bleeding,l cramping/pain
stringsl feell longerl thanl usual
QUESTION
whol isl al goodl candidatel forl hormonall IUD Answer: womenl withl 1 l sexuall partner lowl riskl forl STD womenl withl menorrhagial (longl periods) anyonel whol cantl havel estrogen
QUESTION
whol isl notl al goodl candidatel forl al hormonall IUD Answer: someonel whol isl pregnant uterusl isl shorterl orl smallerl thanl thel IUD artificiall heartl valvel highl riskl forl STD,l recentl HXl ofl PIDl orl STD cervical,l endometrial,l orl ovarianl cancer
QUESTION
Howl doesl al ParaGardl work Answer: copperl actsl asl al spermicidel byl reducingl sperml motility uterusl andl fallopianl tubesl producel fluidl thatl killsl sperm itl isl al copperl Tl withl al singlel filamentl string
QUESTION
howl longl isl al ParaGardl goodl for Answer: 10 l years
QUESTION
Whol isl al goodl candidatel forl condoml use Answer: highl riskl forl STD cannot/dol notl wantl hormonall methods needl backupl method havel sexl infrequently wantl al methodl thatl isl userl controlled
QUESTION
Timingl ofl usel forl al diaphragm Answer: insertedl 2 l hoursl priorl tol sexl withl spermicidall jelly leftl inl placel forl 6 l hoursl afterl sex
QUESTION
mostl commonl sizel ofl diapgragm Answer: 70
QUESTION
howl longl isl al diaphragml goodl for Answer: 3 l years
QUESTION
whenl canl al diaphragml bel usedl afterl pregnancy Answer: 6 l weeksl PP/postl abortionl afterl cervicall changesl settle
QUESTION
Failurel ratel ofl diapgrapgm Answer: 17% 87 - 94%l effective
QUESTION
advantagesl ofl diaphragm Answer: empowerment,l canl bel usedl withl condoms,l decreasesl riskl forl cervicall neoplasia
QUESTION
disadvantagesl ofl diaphragm Answer: increasedl riskl forl UTI,l BV,l TSS decreasedl spontaneity
QUESTION
patientl teachingl forl diaphragms Answer: needsl tol bel refitl ifl therel isl significantl weightl changel (>10lbs),l postpartum/post-abortion canl bel usedl withl condoms storel itl inl al cleanl placel awayl froml directl sunlightl orl extremel heat washl withl soapl andl waterl andl letl itl airl dry
QUESTION
whol isl notl al goodl candidatel forl al diaphragm
QUESTION
spermicidesl advantages Answer: OTC,l providel lubrication,l mayl preventl GC/CT
QUESTION
spermicidesl disadvantages Answer: canl causel irritation increasedl riskl ofl HIVl transmissionl froml erosionl ofl vaginall orl rectall mucosa increasedl riskl forl candidiasisl froml extral moisture
QUESTION
whenl arel spermicidel foams,l creams,l andl gelsl effective Answer: immediately,l lastl upl tol 1 l hour
QUESTION
whenl arel spermicidel suppositoriesl goodl for Answer: waitl forl 15 l minl forl theml tol meltl andl coatl thel walls goodl forl 1 l hour
QUESTION
howl tol placel spermicides Answer: deepl inl thel vaginall vaultl forl maximuml effectiveness
QUESTION
Howl doesl thel calendarl methodl work Answer: identifiesl fertilel days assessl cyclel length sexl onl safel daysl vsl abstinencel whenl ovulating
QUESTION
Failurel ofl calendarl method Answer: 15%
QUESTION
advantagesl ofl calendarl method Answer: planl andl preventl pregnancyl withoutl alteringl hormones
QUESTION
disadvantagesl ofl calendarl method Answer: nol protectionl forl STDs,l difficultl withl long-terml use,l increasedl failurel ratel withl irregularl cycles,l hardl tol assessl mensurall lengthl whenl approachingl menopausel orl recentl menarche
QUESTION
patientl teachingl - l calendarl method:l observablel signsl ofl ovulation Answer: cervicall mucousl andl temperaturel changes
Billingsl methodl - l whenl tol abstain Answer: froml beginningl ofl cyclel untill 4thl dayl afterl peakl mucous
QUESTION
Billingsl Methodl Education Answer: breastfeeding,l surgery,l andl intravaginall thingsl makel itl harderl tol assessl cervicall mucousl nol douchingl - l willl makel methodl unreliable
QUESTION
Calendarl method Answer: subtractl 10 l daysl froml thel longestl cyclel andl 20 l froml thel shortestl cycle abstainl duringl thosel days sexl everyl otherl nightl ifl attemptingl pregnancy
QUESTION
Typel ofl emergencyl contraception Answer: Planl B,l Ulipristall acetatel (Ella),l Copperl IUD
QUESTION
Whatl hormonel isl planl B Answer: levonorgestrel
QUESTION
whenl isl planl Bl used Answer: withinl 72 l hoursl ofl unprotectedl sex
QUESTION
Whenl canl coperl IUDl bel used Answer: withinl 5 l daysl ofl unprotectedl sex ultimatelyl mostl effective
QUESTION
Patientl teachingl ullipristall acetatel (Ella) Answer: Prescriptionl pill canl bel givenl withinl 5 l daysl ofl unprotectedl sex elicitsl al responsel sol nothingl canl implant mostl effectivel pill,l worksl asl welll onl dayl 1 l asl dayl 5 l (unlikel planl B) morel effectivel inl peoplel withl al higherl BMIl thanl planl B
QUESTION
Whatl isl MVC Answer: meanl corpuscularl volumel - l al measurel ofl thel redl bloodl celll size
QUESTION
whatl isl thel normall rangel forl MCV Answer: 82.5- 98
QUESTION
Whol isl mostl atl riskl forl ironl deficiencyl anemia Answer: infants,l children,l andl pregnantl women
- primarilyl children
- 20%l adultl women
- 50%l pregnantl women
- 3%l adultl men r/tl - l higherl riskl forl nutritionall inadequacyl froml body'sl recyclingl ofl ironl celiacl diseasel - l malabsorptionl inl thel intestine
QUESTION
whatl isl assumedl tol bel thel causel ofl ironl deficiencyl anemial inl al non-pregnantl woman Answer: bloodl loss premenopasuall - l lossl duringl mensturation postmenopasuall - l occultl GIl bloodl lossl (untill provenl otherl wise)
QUESTION
whatl isl thel mostl commonl nutritionall disorder Answer: ironl deficiencyl anemia
QUESTION
symptomsl ofl ironl deficiencyl anemial inl premenopausall women Answer: (acutel lossl ofl largel volumes)l suddenl SOB,l faintness,l thirst,l weakness,l andl rapidl HR
QUESTION
symptomsl ofl ironl deficiencyl anemial inl postmenopausall women Answer: (slowl andl subtlel bloodl loss) nol symptomsl untill progressedl tol Hgbl 6 - 8 l duel tol body'sl abilityl tol adjustl fatigue,l dysphagia,l sorel tongue/mouth,l pica
QUESTION
ironl deficiencyl anemia:l physicall exam Answer: mayl bel asymptomatic fatigue tachypnea,l tachycardia,l orthostaticl BPs pallor,l palel palpebrall conjunctivia,l nailsl withl spooningl separationl andl ridges angularl stomatitis,l cheilosisl (redl sorel lips),l glossitisl (beefy,l redl tongue) rales,l murmurs splenomegaly,l hepatomegaly,l masses,l epigastricl tenderness
QUESTION
howl isl ironl deficiencyl anemial diagnosed Answer: HBGl <l 12,l <l 11 l inl pregnancyl lowl MCVl andl MCH RBCsl - l hypochromicl withl al lowl reticuluocytel count seruml ferritinl (earliestl markerl forl IDA)l <l 12 12 - 25 l =l normall range +l fecall occult
QUESTION
ironl deficiencyl anemial treatmentl forl menstruall relatedl cause Answer: orall contraceptivesl canl decreasel menstruall flowl byl 30 - 60%
QUESTION
patientl teaching:l orall iron Answer: entericl coated/extendedl releasel mayl diminishl sidel effectsl butl reducel absorption dol notl takel withl tea,l antacids,l orl dairyl products
QUESTION
sidel effectsl ofl orall iron Answer: GIl - l takel withl food,l increasel waterl andl fiber,l startl dosel atl 1x/dayl andl increasel asl tolerated
QUESTION
dietaryl sourcesl ofl iron Answer: leanl meats,l eggl yolk,l shellfish,l leafyl greens,l raisins,l driedl apricots,l peaches
QUESTION
F/Ul withl ironl deficiencyl anemia Answer: 1 l weekl - l reitculocytel increasedl 1 l monthl - l hbgl increasedl byl 2 l points 2 - 3 l monthsl - l alll normall levels thenl ironl isl continuedl forl 3 l monthsl =l 6 l monthl treatmentl plan
QUESTION
Whatl isl B12l deficiency? Answer:
Perniciousl anemial (MC)...l mayl alsol bel gastrectomy,l prolongedl usedl ofl PPI,l metformin,l IBS,l orl veganl diet megaloblasticl (highl MCV)
QUESTION
Whatl causesl B12l deficiency? Answer: impairedl absorptionl r/tl lackl ofl intrinsicl factorl producedl byl thel stomachl liningl orl removall ofl thel ileuml (wherel absorptionl actuallyl occurs)
QUESTION
whatl isl perniciousl anemia Answer: autoimmunel disorderl thatl occursl aroundl agel 60 l - l thel stomachl isl nol longerl ablel tol producel intrinsicl factorl sol thel stomachl isl notl ablel tol absorbl vitaminl B
QUESTION
Symptomsl ofl B12l deficiency Answer: Weakness,l sorel tongue,l paresthesial (lossl ofl vibratoryl sense)
QUESTION
Howl isl B12l deficiencyl diagnosed? Answer: Macrocytosisl (increasedl MVCl >l 115fl)l decreasedl B12l levelsl (200- 300 l isl borderline,l belowl 200 l isl low) Anemia,l mildl leuokpenial orl thrombocytpenial lowl reticulocytel count hypersegmentedl neurtrophils
