Contraceptive Quiz set using questions
from FNP Nurse Mastery
Which of the following women is the best candidate for progestin-only pill (POP) use?
A. an 18-year-old woman who frequently forgets to take prescribed medications
B. a 28-year-old woman with multiple sexual partners
C. a 32-year-old woman with adequately-controlled hypertension
D. a 26-year-old woman who wants to use the pill to help "regulate" her menstrual cycle
- answer C
Noncontraceptive benefits of COC use include a decrease in all of the following except:
A. iron-deficiency anemia.
B. pelvic inflammatory disease (PID).
C. cervicitis.
D. ovarian cancer. - answer C
Due to an increased risk of blood clots, an alternative to the contraceptive ring
(NuvaRing) or patch (Ortho Evra) is preferred in all of the following women except:
A. a 42-year-old nulliparous woman
B. 31-year-old woman with a history of naturally occurring multiple gestation pregnancy.
C. 28-year-old who smokes one pack per day
D. 33-year-old woman with a family history of venous thrombosis. - answer B
True or False?
According to the U. S. Medical Eligibility Criteria for Contraception Use, a 32-year-old
breastfeeding a 6-month-old infant a category 1 or 2 COC candidate. - answer False
In contrast to progestin-only emergency contraception, a possible mechanism of action
of ulipristal (Ella) is:
A. inhibiting embryo implantation
B. impairing sperm transport
C. through spontaneous abortion
D. impairing ovum transport - answer A
When prescribing the contraceptive patch (Ortho Evra) or vaginal ring (NuvaRing), the
NP considers that:
A. these are progestin-only products.
B. candidates include women who have difficulty remembering to take a daily pill.
C. there is significant drug interactions with both products
D. contraceptive efficacy is less than with COC. - answer B
26-year-old mother who breastfeeds her 10-month-old child queries about
contraceptives. In counseling her on the use of the progestin-only pill (POP), you
mention all of the following except:
A. the pill is taken every day
B. POP is a more effective contraceptive than COC
,Contraceptive Quiz set using questions
from FNP Nurse Mastery
C. POP does not alter the quality or quantity of breast milk.
D. POP is associated with bleeding irregularity, ranging from prolonged flow to
amenorrhea. - answer B
An 18-year-old woman requests emergency contraception after having unprotected
vaginal intercourse approximately 18 hours ago. Today is day 12 of her normally 27- to
29-day menstrual cycle and she has no contraindications to the use of any currently
available forms of emergency contraception. You advise her that:
A. emergency hormonal contraception use reduces the risk of pregnancy by
approximately 33%.
B. all forms of emergency contraception must be used within 12 hours after unprotected
intercourse.
C. the likelihood of conception is minimal.
D. insertion of a copper-containing IUD offers an effective form of emergency and
ongoing contraception. - answer D
Concerning selective estrogen receptor modulator therapy such as raloxifene (Evista),
which of the following statements is correct?
A. Concurrent progestin opposition is needed
B. Hot flashes are reduced in frequency and severity.
C. Use is contraindicated when a woman has a history of breast cancer
D. Osteoporosis risk is reduced with use. - answer D
With DMPA in depot injection (Depo-Provera), the recommended length of use is
usually:
A. less than 1 year.
B. no more than 2 years.
C. as long as the woman desires this form of contraception.
D. as determined by her lipid response to the medication. - answer B
Which of the following statements is false?
A. Progestin-only emergency contraception can be taken as one dose or two doses.
B. Ulipristal is available by prescription only
C. Progestin-only emergency contraception is available OTC for women 17 years old
and older
D. Ulipristal is taken in two doses 12 hours apart. - answer D
A 38-year-old nulliparous woman who smokes two and a half packs a day is in an "on-
and-off" relationship. The woman presents seeking contraception. Which of the
following represents the most appropriate method?
A. contraceptive ring (NuvaRing).
B. COC.
C. contraceptive patch (Ortho Evra).
D. vaginal diaphragm - answer D
, Contraceptive Quiz set using questions
from FNP Nurse Mastery
By using a diaphragm with spermicide nonoxynol-9 during sexual intercourse, a woman
is likely at increased risk for:
A. cervical stenosis
B. urinary tract infection
C. increased perivaginal lactobacilli colonization
D. ovarian malignancy. - answer B
According to the U. S. Medical Eligibility Criteria for Contraception Use, which of the
following is a clinical condition in which use of a copper-containing IUD should be
approached with caution?
A. uncomplicated valvular heart disease
B. AIDS-defining illness
C. hypertension
D. dysmenorrhea - answer B
You see a 34-year-old woman who reports having unprotected sexual intercourse 4
days ago and requests emergency contraception. She has a recent history of gonorrhea
that was treated successfully. The most acceptable and effective option in this clinical
scenario is:
A. progestin-only emergency contraception
B. ulipristal
C. copper-containing IUD
D. nothing, as 4 days is too long for emergency contraception to be effective. - answer
B
According to the U. S. Medical Eligibility Criteria for Contraception Use, which of the
following is a clinical condition in which use of a copper-containing IUD should be
approached with caution?
A. uncomplicated valvular heart disease
B. AIDS-defining illness
C. hypertension
D. dysmenorrhea - answer B
Irregular bleeding associated with DMPA (Depo-Provera) can be minimized with the use
of all of the following except:
A. acetaminophen.
B. ibuprofen.
C. naproxen sodium.
D. estrogen supplements. - answer A
Which of the following is the most appropriate response to a 27-year-old woman who is
taking phenytoin (Dilantin) for the treatment of a seizure disorder and is requesting
hormonal contraception?
from FNP Nurse Mastery
Which of the following women is the best candidate for progestin-only pill (POP) use?
A. an 18-year-old woman who frequently forgets to take prescribed medications
B. a 28-year-old woman with multiple sexual partners
C. a 32-year-old woman with adequately-controlled hypertension
D. a 26-year-old woman who wants to use the pill to help "regulate" her menstrual cycle
- answer C
Noncontraceptive benefits of COC use include a decrease in all of the following except:
A. iron-deficiency anemia.
B. pelvic inflammatory disease (PID).
C. cervicitis.
D. ovarian cancer. - answer C
Due to an increased risk of blood clots, an alternative to the contraceptive ring
(NuvaRing) or patch (Ortho Evra) is preferred in all of the following women except:
A. a 42-year-old nulliparous woman
B. 31-year-old woman with a history of naturally occurring multiple gestation pregnancy.
C. 28-year-old who smokes one pack per day
D. 33-year-old woman with a family history of venous thrombosis. - answer B
True or False?
According to the U. S. Medical Eligibility Criteria for Contraception Use, a 32-year-old
breastfeeding a 6-month-old infant a category 1 or 2 COC candidate. - answer False
In contrast to progestin-only emergency contraception, a possible mechanism of action
of ulipristal (Ella) is:
A. inhibiting embryo implantation
B. impairing sperm transport
C. through spontaneous abortion
D. impairing ovum transport - answer A
When prescribing the contraceptive patch (Ortho Evra) or vaginal ring (NuvaRing), the
NP considers that:
A. these are progestin-only products.
B. candidates include women who have difficulty remembering to take a daily pill.
C. there is significant drug interactions with both products
D. contraceptive efficacy is less than with COC. - answer B
26-year-old mother who breastfeeds her 10-month-old child queries about
contraceptives. In counseling her on the use of the progestin-only pill (POP), you
mention all of the following except:
A. the pill is taken every day
B. POP is a more effective contraceptive than COC
,Contraceptive Quiz set using questions
from FNP Nurse Mastery
C. POP does not alter the quality or quantity of breast milk.
D. POP is associated with bleeding irregularity, ranging from prolonged flow to
amenorrhea. - answer B
An 18-year-old woman requests emergency contraception after having unprotected
vaginal intercourse approximately 18 hours ago. Today is day 12 of her normally 27- to
29-day menstrual cycle and she has no contraindications to the use of any currently
available forms of emergency contraception. You advise her that:
A. emergency hormonal contraception use reduces the risk of pregnancy by
approximately 33%.
B. all forms of emergency contraception must be used within 12 hours after unprotected
intercourse.
C. the likelihood of conception is minimal.
D. insertion of a copper-containing IUD offers an effective form of emergency and
ongoing contraception. - answer D
Concerning selective estrogen receptor modulator therapy such as raloxifene (Evista),
which of the following statements is correct?
A. Concurrent progestin opposition is needed
B. Hot flashes are reduced in frequency and severity.
C. Use is contraindicated when a woman has a history of breast cancer
D. Osteoporosis risk is reduced with use. - answer D
With DMPA in depot injection (Depo-Provera), the recommended length of use is
usually:
A. less than 1 year.
B. no more than 2 years.
C. as long as the woman desires this form of contraception.
D. as determined by her lipid response to the medication. - answer B
Which of the following statements is false?
A. Progestin-only emergency contraception can be taken as one dose or two doses.
B. Ulipristal is available by prescription only
C. Progestin-only emergency contraception is available OTC for women 17 years old
and older
D. Ulipristal is taken in two doses 12 hours apart. - answer D
A 38-year-old nulliparous woman who smokes two and a half packs a day is in an "on-
and-off" relationship. The woman presents seeking contraception. Which of the
following represents the most appropriate method?
A. contraceptive ring (NuvaRing).
B. COC.
C. contraceptive patch (Ortho Evra).
D. vaginal diaphragm - answer D
, Contraceptive Quiz set using questions
from FNP Nurse Mastery
By using a diaphragm with spermicide nonoxynol-9 during sexual intercourse, a woman
is likely at increased risk for:
A. cervical stenosis
B. urinary tract infection
C. increased perivaginal lactobacilli colonization
D. ovarian malignancy. - answer B
According to the U. S. Medical Eligibility Criteria for Contraception Use, which of the
following is a clinical condition in which use of a copper-containing IUD should be
approached with caution?
A. uncomplicated valvular heart disease
B. AIDS-defining illness
C. hypertension
D. dysmenorrhea - answer B
You see a 34-year-old woman who reports having unprotected sexual intercourse 4
days ago and requests emergency contraception. She has a recent history of gonorrhea
that was treated successfully. The most acceptable and effective option in this clinical
scenario is:
A. progestin-only emergency contraception
B. ulipristal
C. copper-containing IUD
D. nothing, as 4 days is too long for emergency contraception to be effective. - answer
B
According to the U. S. Medical Eligibility Criteria for Contraception Use, which of the
following is a clinical condition in which use of a copper-containing IUD should be
approached with caution?
A. uncomplicated valvular heart disease
B. AIDS-defining illness
C. hypertension
D. dysmenorrhea - answer B
Irregular bleeding associated with DMPA (Depo-Provera) can be minimized with the use
of all of the following except:
A. acetaminophen.
B. ibuprofen.
C. naproxen sodium.
D. estrogen supplements. - answer A
Which of the following is the most appropriate response to a 27-year-old woman who is
taking phenytoin (Dilantin) for the treatment of a seizure disorder and is requesting
hormonal contraception?
