Quiz 8: Family planning after pregnancy

Please choose the one, most correct answer to each question or statement.

1. The most important aim of family planning is to:
   • Save money
   • Improve the quality of life for everyone
   • Prevent sexually transmitted diseases
   • Ensure that each family has 1 child only
2. In poor communities the prevention of large families:
   • Improves the health of women and children
   • Increases the mortality of women during pregnancy
   • Makes the financial status of the family worse
   • Is not a priority in the planning of perinatal health
3. The correct way to advise a woman regarding a suitable contraceptive method is to:
   • Ask her which method she would like and then consider if it is a suitable choice.
   • Prescribe the method that you think would be the best.
   • Suggest that she use Ovral as a postcoital contraceptive.
   • Allow her to use whatever method she wants.
4. Which of the following is the least effective method of contraception:
   • An injectable
   • A condom
   • An intra-uterine contraceptive device
   • A combined oral contraceptive pill
5. One of the very effective contraceptive methods is:
   • The condom
   • Breastfeeding
   • An intra-uterine contraceptive device
   • Spermicides
6. Postcoital contraception with Norlevo, E-Gen-C or Ovral should be offered to a woman who has had a single episode of unprotected sexual intercourse:
   • Five days ago
   • Seven days ago
   • Ten days ago
   • When she misses her next expected period
7. Risk factors for cardiovascular disease include:
   • Smoking under 30 years of age
   • Smoking under 35 years of age
   • Smoking over 35 years of age
   • Non-smoking at 40 years of age
8. A young healthy woman who is not a smoker and is on a combined pill should:
   • Stop taking the pill after 1 year
   • Stop taking the pill after five years
   • Stop taking the pill for a few months periodically every few years
   • Stop taking the pill at 50 years of age
9. Lactation is reduced by:
   • The progestogen-only pill (minipill)
   • An intra-uterine contraceptive device
   • An injectable
   • A combined oral contraceptive pill
10. The combined oral contraceptive pill may cause:
    • Menorrhagia (heavy and/or prolonged menstruation)
    • Carcinoma of the ovary
    • Nausea and breast tenderness
    • Permanent infertility
11. The side effects of injectable contraceptives (depot progestogens) include:
    • Decreased lactation
    • Increased risk of pelvic infection
    • Increased risk of thromboembolism
    • Amenorrhoea
12. The effectiveness of combined oral contraceptive pills may be impaired by:
    • Aspirin
    • Antibiotics
    • Antacids
    • Coffee
13. Tubal ligation causes:
    • Menstrual abnormalities
    • Weight gain
    • Headaches
    • None of the above
14. Health benefits of combined oral contraceptives include:
    • No effect on lactation
    • Less premenstrual tension
    • Less coronary artery disease
    • Less risk of HIV infection
15. An advantage of the condom as a method of contraception is that it:
    • Is very effective
    • Decreases the risk of sexually transmitted disease
    • Increases sensation during intercourse
    • Is socially acceptable to everyone
16. Which contraceptive method is most appropriate for a teenager who has had an unplanned pregnancy?
    • An intra-uterine contraceptive device
    • An injectable
    • A combined oral contraceptive pill
    • Postcoital contraception
17. An injectable is a suitable contraceptive method for a woman who:
    • Is planning a pregnancy within the next 6 months
    • Is planning a pregnancy in a year’s time
    • Has a history of severe depression
    • Is 23 years old with two children and wants no further children
18. An intra-uterine contraceptive device is a suitable method for a woman who:
    • Is lactating (breastfeeding)
    • Has more than one sexual partner
    • Has had an episode of pelvic inflammatory disease
    • Has a menstrual abnormality
19. A suitable contraceptive method for a female smoker aged 37 years who has recently had her third child is:
    • Ovral as a method of postcoital contraception
    • A combined oral contraceptive pill
    • Tubal ligation
    • Condoms
20. When would be the most appropriate time to insert an intra-uterine contraceptive device after delivery?
    • Immediately after delivery
    • 2 weeks postpartum
    • 6 weeks postpartum
    • Not earlier than 3 months postpartum