Deck 6: Contraception

Question 1

The most common type of oral contraceptive is the

A)minipill.
B)combination pill.
C)morning-after pill.
D)emergency contraceptive pill.

Answer 1

combination pill.

Question 2

The main advantage of oral contraceptives is the

A)high degree of effectiveness.
B)high continuation rate.
C)low cost.
D)regularity of periods.

Answer 2

high degree of effectiveness.

Question 3

Which of the following statements about oral contraceptives is TRUE?

A)They are effective only because they prevent ovulation.
B)Full protection is provided by oral contraceptives after three days of use.
C)The most common type of oral contraceptive contains both estrogen and progesterone.
D)A significant risk of pregnancy exists even if oral contraceptives are taken as directeD.

Answer 3

The most common type of oral contraceptive contains both estrogen and progesterone.

Question 4

Oral contraceptives primarily prevent conception by

A)reducing the number of sperm that penetrate the cervix by thickening cervical mucus.
B)blocking sperm from reaching the ovum.
C)changing the acidity of the vaginal canal.
D)preventing ovulation by mimicking the hormonal activity of the corpus luteum.

Question 5

Oral contraceptives decrease the risk of all of the following EXCEPT

A)benign breast disease.
B)painful periods.
C)ovarian,colon,and rectal cancers.
D)sexually transmitted infections.

Question 6

The Ortho Evra contraceptive skin patch can be worn on any of the following places EXCEPT the

A)upper outer arm.
B)abdomen.
C)breasts.
D)buttocks.

Question 7

A woman is usually advised to start the first cycle of oral contraceptive pills with a menstrual period.Full effectiveness of oral contraceptives is then established

A)after the first pill is taken.
B)after one week of use.
C)after one month of use.
D)after three months of use.

Question 8

The Ortho Evra contraceptive skin patch is worn for ________ before being replaced.

A)3 days
B)1 week
C)2 weeks
D)1 month

Question 9

All of the following are TRUE about the minipill,EXCEPT that

A)it contains no estrogen.
B)it contains a small dose of a synthetic progesterone.
C)it has more side effects and health risks than other hormonal contraceptives.
D)it should be taken every day of the month at the same time of day.

Question 10

Which of the following actions will reduce the health risks associated with the use of oral contraceptives?

A)using a high-dosage pill
B)having annual mammograms
C)eating a high-protein diet
D)stopping smoking

Question 11

Compliance seems higher for the contraceptive skin patch than for oral contraceptives because

A)the skin patch is easier to obtain.
B)it is safer than oral contraceptives.
C)the patch requires weekly instead of daily action.
D)the patch is cheaper.

Question 12

The "typical use" contraceptive failure rate is based on studies that measure the percentage of women experiencing unintended pregnancy in the first

A)six months of use.
B)one year of use.
C)two years of use.
D)five years of use.

Question 13

When a woman is using an oral contraceptive,she can use the word ACHES to remind her of preliminary danger signals.What does the "A" stand for?

A)alert
B)abscess
C)abdominal pain
D)allergic reaction

Question 14

Oral contraception is NOT recommended for women with

A)a low resting heart rate.
B)an intense exercise regimen.
C)a history of asthma.
D)a history of blood clots.

Question 15

In addition to hormone pills,most oral contraceptive packets also include

A)one week of inactive pills.
B)postcoital pills.
C)alternative contraceptive methods.
D)instructions for the Billings methoD.

Question 16

The continuation rate of a contraceptive is determined by the percentage of

A)people who keep using a particular contraceptive after a specified period of time.
B)women who cannot become pregnant once they have stopped using a contraceptive.
C)women who become pregnant while using a contraceptive.
D)people who use more than one method of contraception in a single year.

Question 17

A contraceptive that physically blocks the sperm from reaching the egg is a

A)barrier method.
B)hormonal method.
C)natural method.
D)surgical methoD.

Question 18

____________ has one of the highest teen pregnancy rates of all developed nations.

A)Germany
B)The United States
C)France
D)Sweden

Question 19

The benefit of taking oral contraceptives with smaller doses of estrogen is

A)higher effectiveness.
B)higher sperm "kill" rate.
C)fewer health risks.
D)lower likelihood of contracting STIs.

Question 20

A contraceptive that permanently prevents the union of the sperm and egg is a

A)barrier method.
B)hormonal method.
C)natural method.
D)surgical methoD.

Question 21

The Implanon implant is effective for how long?

A)1 year
B)3 years
C)5 years
D)8 years

Question 22

Depo-Provera is administered by

A)mouth.
B)injection.
C)implant.
D)suppository.

Question 23

The Implanon implant is a _______________ contraceptive.

A)barrier
B)natural
C)surgical
D)hormonal

Question 24

Which of the following statements about IUDs is TRUE?

A)IUDs do not offer protection against STIs.
B)IUDs terminate rather than prevent pregnancy.
C)IUDs are suitable for women with suspected pregnancy.
D)IUDs are not recommended for women who have never had a chilD.

Question 25

Current evidence suggests that IUDs prevent pregnancy primarily by

A)stopping ovulation.
B)creating a sperm barrier.
C)causing a spontaneous abortion.
D)preventing fertilization.

Question 26

Which of the following is a progestin-only contraceptive,providing no estrogen?

A)Ortho Evra
B)vaginal contraceptive ring
C)oral contraceptives
D)Depo-Provera

Question 27

The nylon threads that are attached to the IUD and protrude through the cervix serve to

A)allow the woman to remove the IUD.
B)allow the woman to check that the IUD is in place.
C)act as a barrier to sperm.
D)provide penile stimulation during intercourse.

Question 28

All of the following are advantages of condoms EXCEPT

A)being relatively inexpensive.
B)being available without prescription.
C)being as effective as oral contraceptives.
D)helping prevent the transmission of HIV.

Question 29

At what time during a woman's cycle should she insert a vaginal contraceptive ring?

A)any time after her menses is finished
B)after she has ovulated
C)right before she enters menses
D)any time during the first 5 days of her menstrual cycle

Question 30

To further enhance the general effectiveness of a condom in preventing pregnancy,one should

A)use a spermicidal foam just prior to intercourse.
B)use a vaginal spermicide after intercourse.
C)store condoms in a warm location.
D)use a condom made out of lambskin.

Question 31

The NuvaRing offers pregnancy protection for how long?

A)1 week
B)1 month
C)6 months
D)1 year

Question 32

Which of the following statements about IUDs and pelvic inflammatory disease (PID)is TRUE?

A)PID rates are high for the first 6 months of use.
B)PID is typically limited to women who have a history of spontaneous abortions.
C)Most cases of PID among IUD users can be treated with antibiotics.
D)IUD use reduces the risk of PID in most women.

Question 33

Which of the following statements about IUDs is FALSE?

A)IUDs are highly reliable.
B)IUDs have only localized side effects.
C)IUD use is easily reversible.
D)IUD use does not require a health care provider.

Question 34

The most widely used barrier method of contraception is the

A)female condom.
B)male condom.
C)diaphragm.
D)cervical cap.

Question 35

Early IUD danger signals include all of the following EXCEPT

A)heavy menstrual bleeding.
B)abdominal pain.
C)foul vaginal discharge.
D)unusual vaginal bleeding.

Question 36

IUDs are contraindicated for women with all of the following conditions EXCEPT those with

A)a history of pelvic infection.
B)past pregnancies.
C)tumors of the uterus.
D)unexplained vaginal bleeding.

Question 37

Which of the following statements about polyurethane condoms is TRUE?

A)Males with latex allergy will also be allergic to polyurethane condoms.
B)They are made of the same material as lambskin condoms.
C)They are less likely to slip off during sexual activity than are latex condoms.
D)They are more likely to break than are latex condoms.

Question 38

Which of the following statements about condoms pre-lubricated with nonoxynol-9 is TRUE?

A)They are no more effective than ones without spermicide.
B)They decrease the risk of HIV transmission.
C)They cost less than non-lubricated condoms.
D)They prevent urinary tract infections.

Question 39

A disadvantage of Depo-Provera is that

A)it has a relatively high failure rate.
B)during use,it produces many estrogen-related side effects.
C)after use is discontinued,infertility may result for up to 12 months.
D)it may cause permanent infertility.

Question 40

After insertion,the NuvaRing (vaginal contraceptive ring)is left in the vagina for ______ before removal.

A)6 hours
B)1 day
C)1 week
D)3 weeks

Question 41

A small,flexible cup that fits over the cervix and serves as a barrier to sperm is a(n)

A)contraceptive sponge.
B)IUD.
C)female condom.
D)cervical cap.

Question 42

Vaginal contraceptive film is a type of

A)IUD.
B)cervical cap.
C)spermicidal suppository.
D)condom.

Question 43

Which of the following is a reason that diaphragms have a relatively high failure rate?

A)age of users
B)incorrect insertion and positioning
C)vigorous sexual activity by users
D)discomfort of use

Question 44

Which of the following is NOT an advantage of the female condom?

A)The female condom is less expensive than the male condom.
B)The female condom gives a woman more personal control over contraception and STI protection.
C)The female condom can be inserted before sexual activity and is,therefore,less disruptive than male condoms.
D)The female condom offers potential protection against genital warts and herpes.

Question 45

All of the following are considered "natural" forms of contraception EXCEPT

A)fertility awareness.
B)withdrawal.
C)abstinence.
D)tubal sterilization.

Question 46

The advantages of the contraceptive sponge include all of the following,EXCEPT that it

A)may be left in place for 24 hours.
B)can be used multiple times.
C)provides partial STI protection.
D)is comfortable and unobtrusive.

Question 47

Because body heat is needed to dissolve and activate contraceptive suppositories,

A)it is important not to use them during cold weather.
B)they are diluted by perspiration.
C)they are not as effective for women with a core body temperature under 98 degrees.
D)it is important to wait at least 15 minutes after insertion before engaging in intercourse.

Question 48

A disadvantage of diaphragms is that

A)a high percentage of women are allergic to them.
B)they requires the use of a spermicide.
C)you must wait to insert them until just before intercourse.
D)you must remove them and clean them immediately after intercourse.

Question 49

The disadvantages of the contraceptive sponge include all of the following EXCEPT

A)possible allergic reactions.
B)an association with toxic shock syndrome.
C)lower doses of spermicide than other methods.
D)difficulty with removal.

Question 50

Contraceptive foams,creams,and jellies must be inserted

A)deep in the vagina near the cervix.
B)in the uterus.
C)at the vaginal opening.
D)close to the fallopian tubes.

Question 51

The temperature method of birth control is based on the knowledge that a woman's body temperature goes

A)up slightly just before ovulation and down slightly after ovulation.
B)down slightly just before ovulation and up slightly after ovulation.
C)up slightly just before menstruation and down slightly after menstruation.
D)down slightly just before menstruation and up slightly after menstruation.

Question 52

An advantage of a cervical cap over a diaphragm is that it

A)does not require being fitted by a health care provider.
B)can be used by women with recurrent urinary tract infections.
C)may be left in place for up to 1 week.
D)provides more protection against HIV infection.

Question 53

The female condom

A)is inserted completely into the vagina with none of it remaining outside.
B)can be inserted up to 8 hours before intercourse.
C)does not require lubrication or spermicide.
D)should not be used by persons who have an allergy to latex.

Question 54

While in storage,diaphragms should be coated with

A)talcum powder.
B)nothing.
C)Vaseline.
D)spermicide.

Question 55

If a condom breaks,an appropriate strategy for reducing the risk of pregnancy is to

A)douche right after intercourse.
B)insert a vaginal contraceptive ring.
C)use emergency contraception.
D)switch to an oil-based lubricant.

Question 56

After intercourse,a diaphragm should be left in for at least

A)1 hour.
B)6 hours.
C)8 hours.
D)12 hours.

Question 57

Vaginal spermicides must be inserted no more than ______ minutes before intercourse.

A)30
B)60
C)90
D)120

Question 58

The life span of an unfertilized egg is about _____ hours.

A)12
B)24
C)48
D)72

Question 59

A diaphragm can be inserted up to how long before intercourse?

A)a few minutes
B)1 hour
C)2 hours
D)6 hours

Question 60

The function of a diaphragm is to

A)cover the cervix.
B)block the fallopian tubes.
C)impair the swimming action of the sperm.
D)provide a sheath-like lining for the vagina.

Question 61

Barrier methods of contraception work by blocking the sperm from reaching the ovum.

Question 62

Surgical birth control methods are considered permanent.

Question 63

If a woman is using the temperature method of birth control,she will calculate that her safe period will begin

A)3 days after the rise in temperature.
B)3 days after the drop in temperature.
C)7 days after the rise in temperature.
D)7 days after the drop in temperature.

Question 64

Surgical severing of the ducts that carry the sperm to the seminal vesicles is called

A)tubal ligation.
B)tubal severing.
C)vasectomy.
D)circumcision.

Question 65

Which of the following statements about tubal sterilization is TRUE?

A)The procedure normally requires 2-3 days' hospitalization.
B)It is a less risky procedure than vasectomy is.
C)Reversibility rates are high.
D)Serious complications from the procedure are rare.

Question 66

Tubal sterilization or tubal ligation entails the severing or blocking of the

A)uterus.
B)testes.
C)vas deferens.
D)oviducts.

Question 67

Surgical removal of the uterus is called

A)vasectomy.
B)hysterectomy.
C)laparoscopy.
D)abortion.

Question 68

Withdrawal has relatively low effectiveness as a contraceptive method because of the presence of

A)epididymis.
B)urine.
C)cervical mucus.
D)preejaculatory fluiD.

Question 69

What is the BEST explanation of why men have historically taken less responsibility for contraception than women have?

A)Women have refused to share the decision-making power for contraception with men.
B)There is a social stigma associated with men's use of contraceptives.
C)The use of contraceptives cannot protect men from STIs.
D)The consequences of not using contraception are more serious for women than for men.

Question 70

Hormonal methods of contraception work primarily by interfering with implantation.

Question 71

In order for emergency contraception to be effective,the first dose must be taken within ____ hours of unprotected intercourse.

A)12
B)48
C)72
D)120

Question 72

The Essure female sterilization system works by

A)releasing steady doses of hormones that block ovulation.
B)forming a barrier that prevents sperm from entering the cervix.
C)causing scar tissue to form over implants and block the fallopian tubes.
D)changing the lining of the uterus to prevent implantation.

Question 73

The Ortho Evra contraceptive skin patch slowly releases one hormone (estrogen)into the bloodstream.

Question 74

The U.S.rate of teen pregnancy is much lower than the rate in other developed countries.

Question 75

The most commonly used oral contraceptive is the combination pill.

Question 76

Contraceptive failure rate is based on studies that directly measure the percentage of women who experience unintended pregnancy in the first year of contraceptive use.

Question 77

The active ingredient in the minipill form of oral contraceptives is estrogen.

Question 78

Which of the following statements about male sterilization is TRUE?

A)The procedure has significantly higher risk for physical complications than does female sterilization.
B)It requires another form of birth control to be used until a sperm-free sample of ejaculate is obtained.
C)It is immediately effective.
D)It is performed under general anesthesia.

Question 79

Which of the following is a characteristic of cervical secretions observed at the time of ovulation?

A)clear,thick mucus
B)cloudy,sticky mucus
C)clear,slippery mucus
D)cloudy,slippery mucus

Question 80

Regarding the availability of emergency contraception,which of the following statements is accurate?

A)Emergency contraceptives are available over-the-counter for everyone,but not all pharmacies carry them.
B)All physicians will prescribe emergency contraceptives for their patients if asked.
C)Emergency contraceptives are available only by prescription and only for people over the age of 17.
D)Emergency contraceptives are available at most convenience stores.