Does the NuvaRing need to be removed for a pap smear?

No, it does not need to be removed for a Pap smear. The annual gyn exam and testing can be done with the Nuva Ring in place.

Not that I know of. I have had a pap smear done with it in. It may just be the practitioner's preference. If so, then she/he can probably remove and place it back immediately after the exam. But I would leave it in and inform my practitioner.