Family Planning Nursing Certification Examination Verified Questions,
Correct Answers, and Detailed Explanations for Science
Students||Already Graded A+
Question 1
A 24-year-old nulliparous woman requests highly effective, reversible
contraception that requires minimal maintenance. She plans to delay
pregnancy for at least five years. Which method is the most
appropriate?
A. Male condom
B. Combined oral contraceptive pill
C. Levonorgestrel-releasing intrauterine device (IUD)
D. Spermicidal gel
Correct Answer: C. Levonorgestrel-Releasing Intrauterine Device (IUD)
Rationale:
Long-acting reversible contraceptives (LARCs), including hormonal IUDs,
are among the most effective reversible contraceptive methods. They
provide years of protection with minimal user action and are
appropriate for many individuals, including those who have never been
pregnant, when no contraindications exist.
Question 2
Which contraceptive method provides the greatest protection against
sexually transmitted infections (STIs)?
A. Copper IUD
B. Male latex condom
,C. Combined oral contraceptive pill
D. Contraceptive implant
Correct Answer: B. Male Latex Condom
Rationale:
Male latex condoms reduce the risk of transmission of many sexually
transmitted infections when used correctly and consistently. Most other
contraceptive methods do not protect against STIs.
Question 3
A patient reports missing two active combined oral contraceptive pills
during the first week of the pack. What is the priority nursing
instruction?
A. Stop taking the pills permanently.
B. Follow current missed-pill instructions, continue the pack, and use
backup contraception as recommended.
C. Discard the pack and wait until the next menstrual cycle.
D. Double the dose for the remainder of the month.
Correct Answer: B. Follow Current Missed-Pill Instructions, Continue
the Pack, and Use Backup Contraception as Recommended
Rationale:
Management depends on the number of pills missed and the timing
within the cycle. Patients should follow evidence-based missed-pill
guidance and use backup contraception when indicated.
Question 4
,Which patient is generally not an appropriate candidate for combined
estrogen-containing contraceptives?
A. Healthy 22-year-old nonsmoker
B. Woman with uncontrolled hypertension
C. Woman with regular menstrual cycles
D. Healthy postpartum patient who is medically eligible
Correct Answer: B. Woman With Uncontrolled Hypertension
Rationale:
Estrogen-containing contraceptives are contraindicated or not
recommended in certain conditions, including uncontrolled
hypertension, because of an increased risk of cardiovascular
complications.
Question 5
Which statement about emergency contraception is correct?
A. It terminates an established pregnancy.
B. It is intended to reduce the risk of pregnancy after unprotected
intercourse.
C. It permanently prevents pregnancy.
D. It protects against sexually transmitted infections.
Correct Answer: B. It Is Intended to Reduce the Risk of Pregnancy
After Unprotected Intercourse
Rationale:
Emergency contraception is used after unprotected intercourse or
contraceptive failure to reduce the chance of pregnancy. It is not
, intended to terminate an established pregnancy and does not protect
against STIs.
Question 6
A patient receiving depot medroxyprogesterone acetate (DMPA) should
be counseled that a common side effect is:
A. Immediate infertility
B. Irregular menstrual bleeding
C. Increased risk of multiple gestation
D. Permanent amenorrhea in all users
Correct Answer: B. Irregular Menstrual Bleeding
Rationale:
Irregular bleeding is common during the first months of DMPA use.
Many users eventually experience decreased bleeding or amenorrhea.
Question 7
Which assessment is most important before initiating a contraceptive
method?
A. Determining the patient's reproductive goals, medical history, and
preferences
B. Measuring blood glucose only
C. Performing a chest radiograph
D. Ordering a stress test
Correct Answers, and Detailed Explanations for Science
Students||Already Graded A+
Question 1
A 24-year-old nulliparous woman requests highly effective, reversible
contraception that requires minimal maintenance. She plans to delay
pregnancy for at least five years. Which method is the most
appropriate?
A. Male condom
B. Combined oral contraceptive pill
C. Levonorgestrel-releasing intrauterine device (IUD)
D. Spermicidal gel
Correct Answer: C. Levonorgestrel-Releasing Intrauterine Device (IUD)
Rationale:
Long-acting reversible contraceptives (LARCs), including hormonal IUDs,
are among the most effective reversible contraceptive methods. They
provide years of protection with minimal user action and are
appropriate for many individuals, including those who have never been
pregnant, when no contraindications exist.
Question 2
Which contraceptive method provides the greatest protection against
sexually transmitted infections (STIs)?
A. Copper IUD
B. Male latex condom
,C. Combined oral contraceptive pill
D. Contraceptive implant
Correct Answer: B. Male Latex Condom
Rationale:
Male latex condoms reduce the risk of transmission of many sexually
transmitted infections when used correctly and consistently. Most other
contraceptive methods do not protect against STIs.
Question 3
A patient reports missing two active combined oral contraceptive pills
during the first week of the pack. What is the priority nursing
instruction?
A. Stop taking the pills permanently.
B. Follow current missed-pill instructions, continue the pack, and use
backup contraception as recommended.
C. Discard the pack and wait until the next menstrual cycle.
D. Double the dose for the remainder of the month.
Correct Answer: B. Follow Current Missed-Pill Instructions, Continue
the Pack, and Use Backup Contraception as Recommended
Rationale:
Management depends on the number of pills missed and the timing
within the cycle. Patients should follow evidence-based missed-pill
guidance and use backup contraception when indicated.
Question 4
,Which patient is generally not an appropriate candidate for combined
estrogen-containing contraceptives?
A. Healthy 22-year-old nonsmoker
B. Woman with uncontrolled hypertension
C. Woman with regular menstrual cycles
D. Healthy postpartum patient who is medically eligible
Correct Answer: B. Woman With Uncontrolled Hypertension
Rationale:
Estrogen-containing contraceptives are contraindicated or not
recommended in certain conditions, including uncontrolled
hypertension, because of an increased risk of cardiovascular
complications.
Question 5
Which statement about emergency contraception is correct?
A. It terminates an established pregnancy.
B. It is intended to reduce the risk of pregnancy after unprotected
intercourse.
C. It permanently prevents pregnancy.
D. It protects against sexually transmitted infections.
Correct Answer: B. It Is Intended to Reduce the Risk of Pregnancy
After Unprotected Intercourse
Rationale:
Emergency contraception is used after unprotected intercourse or
contraceptive failure to reduce the chance of pregnancy. It is not
, intended to terminate an established pregnancy and does not protect
against STIs.
Question 6
A patient receiving depot medroxyprogesterone acetate (DMPA) should
be counseled that a common side effect is:
A. Immediate infertility
B. Irregular menstrual bleeding
C. Increased risk of multiple gestation
D. Permanent amenorrhea in all users
Correct Answer: B. Irregular Menstrual Bleeding
Rationale:
Irregular bleeding is common during the first months of DMPA use.
Many users eventually experience decreased bleeding or amenorrhea.
Question 7
Which assessment is most important before initiating a contraceptive
method?
A. Determining the patient's reproductive goals, medical history, and
preferences
B. Measuring blood glucose only
C. Performing a chest radiograph
D. Ordering a stress test
