Deck 13: Contraception and Abortion

Question 1

What year was the birth control pill approved as a contraceptive method in the U.S.?

A) 1925
B) 1940
C) 1960
D) 1975

Answer 1

C

Question 2

What statement regarding the cervical barrier methods is FALSE?

A) They affect hormone levels and inhibit ovulation.
B) They can increase the risk of toxic shock syndrome and urinary tract infections.
C) They can be inserted prior to sexual activity, increasing spontaneity.
D) They require the use of spermicide to increase effectiveness.

Answer 2

A

Question 3

What is the leading cause of breakage in male condoms?

A) Failure to use lubricant
B) Using the wrong kind of lubricant
C) Using condoms after the expiration date
D) Failure to leave ample space in the top for ejaculate

Answer 3

C

Question 4

Which of the following is NOT a hormonal method of birth control?

A) Seasonale
B) Ortho Evra patch
C) NuvaRing
D) ParaGard

Question 5

Factoring in the FDA approval process, what is the estimated time it takes to develop a new contraceptive method?

A) 2-4 years
B) 5-7 years
C) 10-14 years
D) 14-20 years

Question 6

The following statement is descriptive of the contraceptive sponge:

A) A prescription is required to obtain a contraceptive sponge.
B) The sponge is inserted after intercourse and soaks up the male ejaculate.
C) In order to have maximum effectiveness, the sponge should be left in for 6 hours after intercourse.
D) Women who have already had children have higher effectiveness rates using the sponge.

Question 7

Birth control pills are not advised for someone with what condition?

A) Circulatory problems
B) Heart disease
C) Diabetes
D) All of these

Question 8

When were birth control pills approved for use in Japan?

A) 1969
B) 1979
C) 1989
D) 1999

Question 9

Contraceptive use around the world is related to:

A) Knowledge of contraception
B) Religious teachings
C) Gender roles in the culture
D) All of these

Question 10

What statement is descriptive of condoms?

A) People who have latex allergies are not able to use condoms.
B) Condoms have been used since the beginning of recorded history.
C) Male condoms cost approximately $3-4 per condom.
D) Condoms can be placed on the penis before or after erection.

Question 11

In the U.S., White women are more likely to use _______, while Black and Hispanic women are more likely to use _______.

A) Sterilization, condoms
B) The pill, condoms
C) The pill, sterilization
D) Condoms, the pill

Question 12

Which of the following was NOT a method of contraception used by ancient Egyptians?

A) Inserting a tampon into the vagina that had been soaked in herbal liquid and honey
B) Inserting a mixture of crocodile feces, sour milk, and honey
C) Fumigating the female genitalia with various mixtures
D) Ingesting natural hormones found in yam roots to prevent ovulation

Question 13

Which of the following is safe to use as a lubricant with latex condoms?

A) Baby oil
B) Water
C) Vegetable oil
D) Hand lotion

Question 14

How does the amount of hormone released through the NuvaRing compare to other hormonal contraceptive methods?

A) The NuvaRing releases higher levels of both progesterone and estrogen compared to other hormonal methods.
B) The NuvaRing offers about equal levels of hormones compared to other hormonal methods.
C) The NuvaRing releases lower levels of hormones compared to other hormonal methods.
D) The NuvaRing does not release any hormones into the body as it protects against pregnancy by acting as a cervical barrier.

Question 15

Extended cycle birth control pills, such as Seasonale or Lybrel, are designed to reduce what?

A) The amount of testosterone in the female body
B) The number of eggs produced each cycle
C) The number of menstrual cycles experienced in a given year
D) The number of pills that must be taken each month to prevent pregnancy

Question 16

What is the primary way that combination birth control pills work to prevent pregnancy?

A) They create an artificial barrier to the cervix.
B) They release chemicals that deactivate sperm.
C) They prevent ovulation and thicken cervical mucus.
D) They cause mucus to form in the fallopian tubes blocking fertilization.

Question 17

All of the following statements are true about the use of male condoms EXCEPT:

A) They may reduce the incidence of early ejaculation.
B) They enhance the sexual sensation for both the male and female.
C) They encourage male participation in birth control.
D) They offer the most protection from sexually transmitted infections.

Question 18

What statement describes the female condom?

A) It is composed of two rings joined by a sheath.
B) It is made of rubber or latex.
C) It can be used more than once.
D) It must be fitted by a physician.

Question 19

Which one is not a barrier method?

A) IUD
B) Diaphragm
C) Cervical cap
D) Condom

Question 20

What should users of the patch be aware of?

A) Users are at higher risk for cardiovascular disease.
B) Users are at higher risk for blood clots.
C) Users have a high risk for skin infections at the site of the patch.
D) Users have a higher risk for pregnancy as it is only 80% effective.

Question 21

Progestin-only birth control methods do not contain:

A) Testosterone
B) Estrogen
C) Spermicide
D) Prolactin

Question 22

What is a benefit of natural family planning methods?

A) They provide protection from STIs.
B) They increase spontaneity in sexual intercourse.
C) They help couples predict fertility.
D) They have a high effectiveness rate as typically used.

Question 23

If a couple wants to prevent pregnancy and avoid STIs, what is the most reliable choice?

A) Male or female sterilization
B) Abstinence
C) Birth control pills
D) Condoms

Question 24

All of the following are ways that emergency contraception works to prevent pregnancy EXCEPT:

A) Inhibits ovulation
B) Thickens cervical mucus
C) Makes endometrium less hospitable for implantation
D) Causes a fertilized egg to be reabsorbed into the body

Question 25

What is an advantage of Depo-Provera?

A) It does not require a prescription.
B) It provides protection for up to 5 years.
C) It does not interfere with spontaneity.
D) All of these

Question 26

All of the following statements are true related to the progestin-only pill (minipill) EXCEPT:

A) Minipills can safely be used by women who smoke.
B) Minipills are taken every day with no hormone-free days.
C) Minipills contain higher hormone levels than the combination birth control pills.
D) Minipills require strict regularity in pill taking in order to maintain effectiveness.

Question 27

What is the closest range of common effectiveness rates for spermicides used alone?

A) 40-50%
B) 50-60%
C) 70-80%
D) 80-90%

Question 28

Which of the following is TRUE regarding emergency contraception?

A) It is available over the counter for women over 18 in the U.S.
B) It has not been approved by the FDA for legal use in the U.S.
C) It will cause an abortion if a fertilized egg is already implanted in the uterus.
D) It involves a visit to the health care clinic and a short out-patient procedure.

Question 29

After a vasectomy, a man:

A) Will no longer ejaculate.
B) Is sterile immediately.
C) Will have difficulty achieving an erection for two to three months after surgery.
D) Will continue to produce viable sperm, but they will have nowhere to go.

Question 30

If a woman wanted a longer term contraception that was reversible and contained no hormones, what would be her best choice?

A) ParaGard IUD
B) Mirena IUD
C) Implanon
D) NuvaRing

Question 31

Which group of women may experience lower effectiveness rates with hormonal methods of birth control?

A) Women ages 15-19
B) Women over 35
C) Women who are significantly overweight
D) Women who exercise too much

Question 32

What describes the male sterilization procedure?

A) It is more common in the U.S. than female sterilization.
B) It costs about twice as much as female sterilization.
C) It involves lower rates of complications than female sterilization.
D) It is performed as an inpatient treatment whereas female sterilization is done as an outpatient procedure.

Question 33

How do the newer methods of female sterilization (Essure and Adiana) differ from traditional tubal sterilization methods?

A) Essure and Adiana are nonsurgical methods.
B) Essure and Adiana are considered reversible.
C) Essure and Adiana cause the ovaries to stop producing eggs.
D) Essure and Adiana are temporary and have to be updated every 10 years.

Question 34

If you were using the natural family planning method, when would you be likely to abstain from sexual intercourse or use an alternative contraceptive method?

A) When the cervical mucus is thickest
B) When the cervical mucus is not present and the vagina seems more dry
C) When the cervical mucus is thin and stretchy
D) This method is not related to cervical mucus but keeping track of the menstrual cycle.

Question 35

Emergency contraception is also known as:

A) Plan B
B) The Morning After pill
C) EC or ECPs
D) All of these

Question 36

How does female sterilization work to prevent pregnancies?

A) The uterus is removed so a fertilized ovum cannot implant.
B) The fallopian tubes are blocked so that ovum and sperm cannot meet.
C) The ovaries are cauterized so that eggs cannot be released.
D) A coil is placed inside the cervix so sperm cannot enter.

Question 37

What is the name of the device placed just under the skin in the arm that uses time-released hormones to prevent pregnancy for up to 3 years?

A) Depo-Provera
B) Implanon
C) Mirena
D) NuvaRing

Question 38

What are factors associated with the increase in use of IUDs in the U.S. in recent years?

A) Increased advertising for IUDs
B) More health care providers trained in insertion and removal techniques
C) Immigration from areas where IUDs are more popular
D) All of these

Question 39

Where are intrauterine devices (IUDs) placed in a woman's body?

A) Vagina
B) Fallopian tubes
C) Ovaries
D) Uterus

Question 40

What is the most commonly used contraceptive method in the world?

A) Condoms
B) Birth control pills
C) Female sterilization
D) Withdrawal

Question 41

What is one of the most common physiological symptoms following an abortion?

A) Heavy bleeding
B) Cervical laceration
C) Uterine perforation
D) Fatigue

Question 42

Women who have used oral contraceptives have a significantly lower rate of death from all cancers, compared to non-users.

Question 43

What has been found related to cross cultural factors and abortion statistics?

A) Countries that have more liberal abortion laws have lower rates of abortion.
B) Countries that have more liberal abortion laws have higher rates of abortion.
C) Nearly 90% of abortions worldwide involve legal abortion procedures.
D) Nearly 90% of abortions worldwide involve illegal abortion procedures.

Question 44

In the 1800s and early 1900s, doctors were the primary ones to provide information about contraception to women and men.

Question 45

Statistically speaking, who is more likely to have an abortion in the U.S.?

A) Janea, a 15-year old
B) Rachel, a 23-year old
C) Ann, a 34-year old
D) Julie, a 42-year old

Question 46

Douching immediately after having vaginal intercourse while not a fail-safe method, has been found to reduce the risk of pregnancy.

Question 47

Barrier Methods of contraception work by preventing sperm from entering the uterus.

Question 48

A medical abortion works by:

A) Causing the cervix to dilate so the pregnancy cannot be sustained.
B) Stopping the development of the growing embryo.
C) Causing a breakdown in the uterine lining and uterine contractions that expel the fetus.
D) Causing the body to have an immunological reaction to the fetus which causes expulsion.

Question 49

As of 2008, the official stance of the Catholic Church prohibited the use of artificial contraception.

Question 50

What statement is descriptive of men's reactions to abortion?

A) Men do not typically want to be involved in an abortion decision.
B) Men often do not discuss the pregnancy with anyone other than their partner.
C) Men do not experience the sense of loss from an abortion because their bodies do not experience the physical changes associated with pregnancy and abortion.
D) Women who are still in a relationship with their male partner do not typically get abortions.

Question 51

Using a male and female condom together is a good way to offer double protection during sexual intercourse.

Question 52

What is the estimated rate of abortions for women of reproductive age in the Unites States?

A) 1 out of every 2
B) 1 out of every 3
C) 1 out of every 5
D) 1 out of every 10

Question 53

What is a common reason cited for a second-trimester abortion?

A) Fetal deformities
B) Marital difficulties
C) Financial problems
D) All of these

Question 54

Depo-Provera is a form of progestin injected into the muscle of a woman's arm or buttock that last for 3 month.

Question 55

Progestin-only birth control methods are recommended for women who are breastfeeding.

Question 56

What condition may put a woman at risk for developing a serious psychological reaction following an abortion?

A) Being older
B) Having no religious background
C) Having an early abortion procedure
D) Having a difficult time making the decision

Question 57

Abortion has been practiced throughout history. In fact, Aristotle viewed abortion as a backup to contraception. When did he believe life begins?

A) At the moment of conception
B) When crucial organs were formed which was different for males and females
C) When the mother felt the baby move
D) At the moment of birth

Question 58

The most common procedure for female sterilization is the hysterectomy.

Question 59

One disadvantage of an IUD is that they can be difficult to insert and remove each time a couple has intercourse.

Question 60

Which of the following statements regarding a first-trimester vacuum aspiration abortion is FALSE?

A) It typically involves local anesthesia.
B) It can be performed up to 16 weeks into a pregnancy.
C) It usually takes 4-6 minutes.
D) Recovery typically requires a 1-day hospital stay.

Question 61

Provisions such as gestational limits, public funding restrictions, waiting periods and parental notification laws have greatly reduced the number of women seeking abortions.

Question 62

Identify two forms of spermicidal contraception. How do they work and what are the advantages and disadvantages of each?

Question 63

The largest groups of women having abortions are in their 20s followed by women in their 30s.

Question 64

Male sterilization involves fewer risks for complications than female sterilization.

Question 65

Explain how progestin-only methods of contraception work. Identify two progestin-only contraceptive methods. Discuss the effectiveness rates, advantages and disadvantages to each.

Question 66

Explain how combination hormonal methods of contraception work. Identify three combined-hormonal contraceptive methods. Discuss the effectiveness rates, advantages and disadvantages to each.

Question 67

Describe the difference between typical use and perfect use effectiveness rates. Give two examples of contraception including the typical use and perfect use rates. Be sure to describe why there is a difference for each?

Question 68

How does an IUD work to prevent pregnancy? Discuss the advantages and disadvantages of IUD use. Be sure to discuss specific differences between types of IUDs.

Question 69

Recent studies have shown an increase in sexual risk taking in women in areas where emergency contraception is more readily available.

Question 70

Emergency contraception works by causing a fertilized egg to dissolve back into the body.

Question 71

Differentiate between surgical and medical abortion and assuming a woman had decided to obtain an abortion, explain how she might decide which procedure would be best for her.

Question 72

Differentiate the difference between male and female sterilization surgical methods, including how they work, advantages and disadvantages as well as popularity outside of the United States.

Question 73

Discuss three factors that influence cross culture contraceptive use and give examples of how these factors relate to use or lack of use of specific contraceptive methods.

Question 74

Explain how barrier methods of contraception work and identify three barrier contraceptive methods. Discuss the effectiveness rates, advantages and disadvantages of each.

Question 75

Describe three different characteristics that are at the foundation of natural family planning.