Question 1

Even when used correctly, which of the following is the LEAST effective birth control method?

Accepted Answer

The diaphragm and spermicide, when used correctly, are generally considered less effective than the other options listed. Estrogen-progestin pills, male condoms, and Depo-Provera injections have higher effectiveness rates in preventing pregnancy when used as directed.

Question 2

All of the following are advantages of taking oral contraceptives EXCEPT

Accepted Answer

Oral contraceptives may actually increase the risk of hypertension. A, B, and C are all well-established advantages of taking oral contraceptives.

Question 3

Which of the following could be a symptom of a serious reaction to hormonal birth control?

Accepted Answer

Severe abdominal pain, severe chest pain, and severe headache can all be symptoms of serious reactions to hormonal birth control, such as blood clots or stroke.

Question 4

Terrie, a sexually active cigarette smoker, would like to avoid becoming pregnant. Which of the following is true?

Accepted Answer

Terrie, being a smoker, faces increased risks when using hormonal birth control, including a higher risk of cardiovascular issues. Therefore, any hormonal contraceptive method should be used under close medical supervision to monitor for potential adverse effects. Options like the constant-dose combination pill or the contraceptive patch, which are hormonal, are not outright contraindicated but do require careful consideration of the risks, especially in smokers over the age of 35. The statement that Terrie cannot use any form of IUD is incorrect, as IUDs (both hormonal and non-hormonal) can be suitable for smokers, depending on individual health factors and preferences.

Question 5

____ provides fluctuations of estrogen and progestin levels during the cycle.

Accepted Answer

The triphasic pill is designed to mimic the natural menstrual cycle by varying the levels of estrogen and progestin throughout the cycle.

Question 6

____ releases a constant dose of estrogen and progestin.

Accepted Answer

The constant-dose combination pill releases a consistent amount of estrogen and progestin throughout the menstrual cycle.

Question 7

The estrogen in the combination, triphasic, and extended-release pills prevents conception primarily by

Accepted Answer

The estrogen in combination, triphasic, and extended-release pills primarily prevents conception by inhibiting ovulation. This hormone suppresses the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are necessary for ovulation to occur. Without ovulation, there is no egg to fertilize and pregnancy is not possible.

Question 8

Imani is a 26-year-old married woman. Imani has two children, which she feels is enough for now, although she has not completely ruled out having more at some point. Which of the following would be Imani's best choice for birth control ?

Accepted Answer

The answer of Imani is a 26-year-old married woman. Imani...

Question 9

Hormone-based contraceptives can work in all of the following ways EXCEPT by

Accepted Answer

Hormone-based contraceptives do not constrict the fallopian tubes to block passage of the fertilized egg. They work by preventing ovulation or altering cervical mucus to block the passage of sperm. Some may also prevent the fertilized egg from implanting in the uterus, but this is not the primary mechanism of action for hormone-based contraceptives.

Question 10

Renu would like to use hormonal birth control, but she is concerned about possible side effects. Renu's best option would be . . .

Accepted Answer

The answer of Renu would like to use hormonal birth...

Question 11

The progestin-only pill may be associated with

Accepted Answer

The progestin-only pill is known to cause breakthrough bleeding as a common side effect. It is not associated with an increase in PMS symptoms, endometrial cancer, or an increase in benign breast disease.

Question 12

Which of the following statements regarding outercourse is FALSE?

Accepted Answer

Outercourse, which includes sexual activities that don't involve vaginal penetration, can still pose risks for sexually transmitted infections (STIs). Activities such as oral and anal sex can transmit STIs, making statement C false.

Question 13

Which of the following is TRUE regarding progestin-only pills?

Accepted Answer

Progestin-only pills do not contain estrogen, so they do not have estrogen-related side effects such as nausea and headaches. However, they may cause irregular bleeding and spotting. They do not provide protection from STIs and do not significantly increase the risk of blood clots compared to estrogen-based pills.

Question 14

Hormonal methods of birth control . . .

Accepted Answer

Hormonal methods of birth control, such as oral contraceptives, patches, and injections, can increase the risk of blood clots and stroke in some women, particularly those who smoke, are over the age of 35, or have a history of cardiovascular disease. It is important for women to discuss their individual risks and benefits with a healthcare provider before starting hormonal contraception.

Question 15

Which of the following pills acts primarily by altering the cervical mucus to a thick and tacky consistency that effectively blocks sperm from entering the uterus?

Accepted Answer

The progestin-only pill, also known as the mini-pill, primarily works by thickening the cervical mucus to prevent sperm from entering the uterus. It does not consistently prevent ovulation like other types of birth control pills.

Question 16

Which of the following is a good option for women who prefer or require a nonestrogen pill?

Accepted Answer

The progestin-only pill, also called the mini-pill, contains only progestin and no estrogen. This makes it a good option for women who prefer or require a nonestrogen pill. However, it is important to note that the mini-pill must be taken at the same time every day to be effective.

Question 17

Which of the following is NOT a frequently noted side effect of oral contraceptives?

Accepted Answer

The answer of Which of the following is NOT a...

Question 18

Extended-cycle pills . . .

Accepted Answer

Extended-cycle pills are designed to reduce the frequency of a woman's menstrual periods, and in some cases, can even stop them altogether. By taking the pills continuously, without a break for placebo pills, it is possible to reduce discomfort for women who have unpleasant menstrual symptoms. While extended-cycle pills may include higher doses of estrogen and progestin than traditional pills, this is not always the case and varies depending on the specific pill. However, increasing the number of menstrual periods per year would be the opposite effect of what extended-cycle pills are designed to do.

Question 19

The MOST common reversible birth control method among women in the United States is/are:

Accepted Answer

Oral contraceptives, also known as the pill, are the most common reversible birth control method among women in the United States. They are convenient to use and highly effective when taken correctly. Tubal sterilization is a permanent method of birth control, while Depo-Provera is an injectable form of birth control and spermicide is a less effective form of birth control.

Question 20

Of the following, which is the MOST effective birth control method when used correctly?

Accepted Answer

Depo-Provera is the most effective birth control method when used correctly. It has a failure rate of less than 1%. Male and female condoms have a typical use failure rate of about 13% and 21% respectively, while a diaphragm with spermicide has a typical use failure rate of about 12%.

Quiz 10: Contraception