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Test 8: Family planning after pregnancy

  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 one child only.
  2. Who needs contraceptive counselling after delivery?
    • All women
    • Only women from poor communities who cannot afford a large family
    • Only mothers of firstborn infants
    • Only women who had an unplanned previous pregnancy
  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 one 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 causes:
    • 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 thrombo-embolism
    • 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 six 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
    • Two weeks postpartum
    • Six weeks postpartum
    • Not earlier than three months postpartum