Chapter 33. Contraception
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Women who are taking an oral contraceptive containing the progesterone drospirenone may require
monitoring of:
1. Hemoglobin
2. Serum calcium
3. White blood count
4. Serum potassium
2. The mechanism of action of oral combined contraceptives that prevents pregnancy is:
1. Estrogen prevents the luteinizing hormone surge necessary for ovulation.
2. Progestins thicken cervical mucus and slow tubal motility.
3. Estrogen thins the endometrium making implantation difficult.
4. Progestin suppresses follicle stimulating hormone release.
3. To improve actual effectiveness of oral contraceptives women should be educated regarding:
1. Use of a back-up method if they have vomiting or diarrhea during a pill packet
2. Doubling pills if they have diarrhea during the middle of a pill pack
3. The fact that they will have a normal menstrual cycle if they miss two pills
4. The fact that mid-cycle spotting is not normal and the provider should be contacted
immediately
4. A contraindication to the use of combined contraceptives is:
, 1. Adolescence (not approved for this age)
2. A history of clotting disorder
3. Recent pregnancy
4. Being overweight
5. Obese women may have increased risk of failure with which contraceptive method?
1. Combined oral contraceptives
2. Progestin-only oral contraceptive pill
3. Injectable progestin
4. Combined topical patch
6. Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral
contraceptives before and has recently started dating a new boyfriend so would like to restart
contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic.
An appropriate plan of care would be:
1. Recommend she return to the clinic at the start of her next menses to get a Depo
Provera shot.
2. Prescribe oral combined contraceptives and recommend she start them at the
beginning of her next period and use a back-up method for the first 7 days.
3. Prescribe oral contraceptives and have her start them the same day as the visit with
a back-up method used for the first 7 days.
4. Discuss the advantages of using the topical birth control patch and recommend she
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Women who are taking an oral contraceptive containing the progesterone drospirenone may require
monitoring of:
1. Hemoglobin
2. Serum calcium
3. White blood count
4. Serum potassium
2. The mechanism of action of oral combined contraceptives that prevents pregnancy is:
1. Estrogen prevents the luteinizing hormone surge necessary for ovulation.
2. Progestins thicken cervical mucus and slow tubal motility.
3. Estrogen thins the endometrium making implantation difficult.
4. Progestin suppresses follicle stimulating hormone release.
3. To improve actual effectiveness of oral contraceptives women should be educated regarding:
1. Use of a back-up method if they have vomiting or diarrhea during a pill packet
2. Doubling pills if they have diarrhea during the middle of a pill pack
3. The fact that they will have a normal menstrual cycle if they miss two pills
4. The fact that mid-cycle spotting is not normal and the provider should be contacted
immediately
4. A contraindication to the use of combined contraceptives is:
, 1. Adolescence (not approved for this age)
2. A history of clotting disorder
3. Recent pregnancy
4. Being overweight
5. Obese women may have increased risk of failure with which contraceptive method?
1. Combined oral contraceptives
2. Progestin-only oral contraceptive pill
3. Injectable progestin
4. Combined topical patch
6. Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral
contraceptives before and has recently started dating a new boyfriend so would like to restart
contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic.
An appropriate plan of care would be:
1. Recommend she return to the clinic at the start of her next menses to get a Depo
Provera shot.
2. Prescribe oral combined contraceptives and recommend she start them at the
beginning of her next period and use a back-up method for the first 7 days.
3. Prescribe oral contraceptives and have her start them the same day as the visit with
a back-up method used for the first 7 days.
4. Discuss the advantages of using the topical birth control patch and recommend she
