Deck 24: Non-Hormonal Contraception

Question 1

A young couple presents to see you to discuss contraceptive methods. Some of the reasons that they may choose a nonhormonal method include:

A) Religious beliefs
B) Previous negative side effects from oral contraceptives
C) Low cost
D) Immediate return to fertility when contraceptive method is stopped
E) All of the above

Answer 1

E

Question 2

Perfect use of a contraceptive refers to:

A) The number of women out of 1,000 who prevent pregnancy in 1 year with correct and consistent use of the method
B) The number of women out of 100 who prevent pregnancy in 1 year with correct and consistent use of the method
C) The number of couples who use the contractive method 100% of the time
D) The number of women who use the contraceptive method 100% of the time

Answer 2

B

Question 3

The following are barrier methods of contraception that are available in the United States except:

A) The diaphragm
B) FemCap
C) Ortho Evra Patch
D) Condoms (male and female)

Answer 3

C

Question 4

Lambskin condoms protect against pregnancy as well as STIs and HIV infection.

Question 5

The male and female condoms can be used together.

Question 6

The following is true about the contraceptive sponge:

A) It contains the spermicide nonoxynol-9.
B) It can be inserted into the vagina up to 24 hours before intercourse.
C) It must be left in place at least 6 hours after intercourse.
D) If left in place for more than 30 hours, there is a risk for toxic shock syndrome.
E) All of the above

Question 7

The diaphragm is one of the oldest female barrier contraceptive devices. It should be replaced after 2 years or refit in the following circumstances:

A) History of cervical cancer
B) History of HIV or HPV infection
C) After a first trimester abortion
D) Weight loss or gain of 20%

Question 8

Absolute contraindications for the FemCap and diaphragm include active cervical cancer and high risk for HIV due to the spermicide used in these devices.

Question 9

The Paragard IUD is a good contraceptive choice for the following woman:

A) A 40-year-old woman with Wilson's disease
B) A nulliparous woman
C) A 35-year-old woman with fibroids
D) A 28-year-old woman with cervical cancer

Question 10

The fertility awareness symptothermal method using a combination of basal body temperature and cervical mucus has a perfect use rate of 98%.