A breastfeeding mom asks for contraception at her two-week postpartum visit. A patient with gestational diabetes returns six weeks after delivery. A new mother on postpartum day six has a severe headache and blood pressure of 164/112.

These cases contain the common wrong answers that sound reasonable but can cost you points on the PANCE.

In Episode 175, we cover postpartum contraception and follow-up, including:

• The three requirements for the lactational amenorrhea method
• When progestin-only contraception can be started
• The day 21 rule for estrogen-containing contraception
• When breastfeeding changes the timing
• IUD placement after delivery
• RhoGAM, MMR, varicella, and Tdap before discharge
• Follow-up after gestational diabetes and why the 2-hour glucose tolerance test beats hemoglobin A1C
• Postpartum hypertension, preeclampsia, and magnesium sulfate
• Blood pressure medications compatible with breastfeeding
• Why the recommended interpregnancy interval is 18 months

The study strategy for this episode is simple: for every topic, identify the trap before you see the answer choices. Ask yourself, "What would sound reasonable but be wrong here?"

Visit physicianassistantexamreview.com/175 for the episode notes.

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