Chapter_10_Contraception
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Chapter 10 - Contraception
1. In the 18th century, this Italian adventurer was noted for his animal membrane condoms tied with a ribbon at the base
of his penis.
a. Christopher Columbus
b. Gabriel Fallopius
c. Giovanni Casanova
d. Anthony Comstock
ANSWER: c
2. In the 1870s, who was instrumental in enacting national laws that prohibited the dissemination of contraceptive
information through the U.S. mail?
a. Margaret Sanger
b. Sigmund Freud
c. Katherine McCormack
d. Anthony Comstock
ANSWER: d
4. Which person believed family planning could significantly improve the lives of women and spoke out against laws
restricting access to information about contraception?
a. Anthony Comstock
b. Sylvester Graham
c. Margaret Sanger
d. Thomas Aquinas
ANSWER: c
6. States cannot deny married couples access to contraception according to a Supreme Court decision known as:
a. Eisenstadt v. Baird
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b. Griswold v. Connecticut
c. Loving v. Virginia
d. Roe v. Wade
ANSWER: b
7. In 1972, which Supreme Court case extended the right to privacy to unmarried individuals by decriminalizing the use
of contraception by single people?
a. Griswold v. Connecticut
b. Eisenstadt v. Baird
c. Sanger v. Comstock
d. Roe v. Wade
ANSWER: b
11. Which of the following is true regarding federal administrations and contraception?
a. The Obama administration reduced funding for contraception.
b. During the George W. Bush administration, the teen pregnancy rate in the United States declined
dramatically.
Chapter 10 - Contraception
c. Many states have exclusionary criteria related to publicly funded health clinics, and some do not allow for the
allocation of public funds for providers that provide or counsel clients about abortions.
d. All federal administrations have consistently remained silent on the issue of contraception.
ANSWER: c
13. Which of the following is true regarding current contraception practices in the U.S.?
a. There has been a decrease in teenagers’ contraceptive use in the U.S.
b. Most contemporary religious groups disapprove of birth control use
c. Women who use birth control consistently and correctly account for about 25% of all unplanned pregnancies
d. Nearly 98% of sexually active women have used contraception at one time or another
ANSWER: d
16. Which statement BEST describes the relationship between the education of women and average number of children?
a. There is no relationship worldwide between women’s education and family size.
b. Educated women in underdeveloped countries have more living children as they can afford better health care.
c. Only in the United States do women with more education have smaller families.
d. Worldwide, women with more education have smaller families.
ANSWER: d
Chapter 10 - Contraception
17. Research has indicated that individuals who feel guilty about sex are:
a. most likely to use contraception effectively.
b. most likely to communicate effectively with their partners about contraception.
c. very likely to abstain completely from sexual intercourse.
d. less likely to use contraception effectively.
ANSWER: d
19. Which of the following is the MOST important variable of birth control method effectiveness?
a. Human error
b. Premarketing research
c. Laboratory testing
d. Regulation by the FDA
ANSWER: a
20. Which of the following circumstances are reasons a backup method of contraception should be used?
a. during the first cycle of the pill, when taking medications such as antibiotics, and after years of effective use.
b. during the first three cycles of the pill, when taking daily multivitamins, and when first learning to use a new
method of birth control.
c. when taking daily multivitamins, after years of effective use, and when first learning to use a new method of
birth control.
d. during the first cycle of the pill, when taking medications such as antibiotics, and when first learning to use a
new method of birth control.
ANSWER: d
21. Of the following, which is the MOST effective birth control method when used correctly?
a. Male condoms
b. Diaphragm and spermicide
c. Depo-Provera
d. Female condoms
ANSWER: c
22. Even when used correctly, which of the following is the LEAST effective birth control method?
a. Diaphragm and spermicide
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b. Estrogen–progestin pills
c. Male condom
d. Depo-Provera
ANSWER: a
23. 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?
a. Tubal sterilization
b. IUD
c. Cervical cap
d. Diaphragm with spermicide
ANSWER: b
25. The MOST common reversible birth control method among women in the United States is/are:
a. tubal sterilization.
b. Depo-Provera.
c. oral contraceptives.
d. spermicide.
ANSWER: c
26. Which of the following are frequently noted side effects of oral contraceptives?
a. breakthrough bleeding, increased menstrual cramping, and increased sexual interest
b. breakthrough bleeding, decrease in sexual interest, and increased risk of cervical cancer
c. breakthrough bleeding, increased menstrual cramping, and increased risk of cervical cancer
d. increased menstrual cramping, increased sexual interest, increased risk of cervical cancer
ANSWER: b
Chapter 10 - Contraception
ANSWER: d
28. Terrie, a sexually active cigarette smoker, would like to avoid becoming pregnant. Which of the following is true?
a. Terrie’s best option is the constant-dose combination birth control pill.
b. Terrie cannot use any form of IUD.
c. Terrie’s best option would be the contraceptive patch.
d. Terrie should use hormonal birth control only under close medical supervision.
ANSWER: d
30. Which of the following methods are considered hormonal birth control methods?
a. condoms, diaphragms, and progestin-only pill
b. vaginal spermicides, vaginal ring, and progestin-only pill
c. vaginal spermicides, vaginal ring, and skin patch
d. progestin-only pill, vaginal ring, and skin patch
ANSWER: d
31. Which of the following are side effects of oral contraceptive pills?
a. headache, weight loss, and breast pain
b. weight loss.headache, nausea, and breast pain
c. headache, nausea, and weight loss
d. breast pain, nausea, and weight loss
ANSWER: b
33. Contraceptive methods that are used simultaneously with another method to increase the effectiveness are known as:
a. multiple method birth control use
b. dual control methods
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c. emergency contraception methods
d. unnecessary; using 1 method is sufficient to prevent pregnancy and sexually transmitted diseases
ANSWER: a
34. Which birth control method is known to have medical side effects for many users?
a. symptothermal method
b. withdrawal
c. contraceptive implant
d. lactational amenorrhea method
ANSWER: c
37. Which woman would not likely be advised to use oral contraceptive pills as her method of birth control?
a. A woman with moderate acne.
b. A woman with premenstrual syndrome.
c. A woman with heavy and painful periods.
d. A woman with a history of blood clots.
ANSWER: d
39. The estrogen in the combination, triphasic, and extended-release pills prevents conception primarily by:
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Chapter 10 - Contraception
a. impairing tubal motility.
b. inhibiting ovulation.
c. altering the acidity of the uterus.
d. reducing the circumference of the cervix.
ANSWER: b
40. 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?
a. Progestin-only pill
b. Constant-dose combination pill
c. Extended-release pills
d. Triphasic pill
ANSWER: a
41. Your friend asks you how oral contraceptives work to prevent pregnancy. Which of the following would be your
BEST answer?
a. They work by preventing the production of hypothalamic hormones.
b. They work by preventing the maturation of eggs.
c. They work by preventing ovulation and changing the lining of the uterus to make it inhospitable to
implantation.
d. They work by increasing the flow of cervical mucus.
ANSWER: c
44. Which form of hormonal contraception has the lowest failure rate per year with typical use?
a. estrogen-progestin pills
b. progestin-only pills
c. progesterone IUD
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d. skin patch
ANSWER: c
48. When using the transdermal patch, which of the following techniques for use is CORRECT?
a. It should be inserted into the vagina and left in place for 30 days.
b. It must be applied six hours before sex and left in place for 12 hours after sex.
c. A woman replaces the old patch with a new one on the same day each week for three weeks, then takes a
seven-day patch free week.
d. It is inserted under the skin, below the armpit.
ANSWER: c
Chapter 10 - Contraception
50. The active ingredient in Depo-Provera is:
a. testosterone.
b. steroids.
c. progestin.
d. estrogen.
ANSWER: c
52. Which of the following contraceptives may NOT be effective for women more than 30% heavier than their medically
ideal weight?
a. Seasonale
b. Ortho Evra
c. Implanon
d. NuvaRing
ANSWER: c
53. The only temporary method of birth control for men is:
a. the male condom.
b. vasectomy.
c. sterilization.
d. male birth control pills.
ANSWER: a
Chapter 10 - Contraception
d. ribbed.
ANSWER: b
57. All of the following are ways to correctly use condoms to prevent pregnancy EXCEPT:
a. the condom must be in place before the penis has contact with the vulva.
b. water-based lubricants should be used.
c. the condom must be held at the base of the penis as it is withdrawn from the vagina.
d. the condom should fit snuggly without an empty tip at the head of the penis.
ANSWER: d
58. Giacomo, who is 24, uses a male condom when he has intercourse. Which statement is true of Giacomo?
a. He is decreasing his chances of contracting a STI.
b. He is engaging in a very unusual behavior for someone his age.
c. He should leave the condom in place for at least six hours after intercourse.
d. He needs a doctor’s prescription for these devices.
ANSWER: a
59. Teenagers who use condoms the first time they have sex:
a. must have parental permission to buy them.
b. are very unusual; most teens in the U.S. do not report using any method of contraception.
c. are more likely to continue to use contraception than teens who do not use a condom at first intercourse.
d. are more likely to engage in high-risk sexual activity and have higher rates of STIs than teens who do not use
a condom at first intercourse.
ANSWER: c
61. Which of the following statements regarding the female condom is true?
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a. It is of particular benefit for women in countries with high HIV rates.
b. It is worn externally by the woman.
c. It does not contain any lubricant.
d. It greatly restricts the movement of the penis after penetration.
ANSWER: a
63. Which of the following are presently available types of vaginal spermicides?
a. contraceptive film, suppositories, and foam
b. contraceptive ring, contraceptive film, and contraceptive patch
c. contraceptive ring, contraceptive film, and suppositories
d. foam, vaginal douche, and suppositories
ANSWER: a
Chapter 10 - Contraception
68. Rosalyn uses a diaphragm every time she has sex. Which statement is true of Rosalyn?
a. She can purchase diaphragms in most drug stores.
b. She may need to have this replaced after a pregnancy or significant weight gain.
c. She is using one of the most effective forms of contraception.
d. She should keep this device in place for at least 24 hours after having intercourse.
ANSWER: b
69. Helga had been using oral contraceptives but has been dealing with many of the side effects. She decided to try a
barrier method for contraception. Which of the following would be a cervical barrier method for Helga to speak to her
doctor about?
a. ParaGard
b. Skyla
c. Diaphragm
d. Liletta
ANSWER: c
Chapter 10 - Contraception
c. She is unlikely to experience a serious complication from using this device.
d. She is less likely than a woman using oral contraceptives to continue to use this method of birth control for
more than a year.
ANSWER: c
73. Two of the danger signs for IUD users, associated with the acronym PAINS, are:
a. stroke and high blood pressure.
b. severe headaches and vomiting.
c. pain at ovulation and early menstrual period.
d. nasty discharge and abdominal pain.
ANSWER: d
75. If Sarah can’t locate the thread of her IUD, she should be advised to:
a. see her health practitioner as soon as possible.
b. forget it; they slip around frequently.
c. wait until after her next period and check again.
d. immediately go to a hospital emergency room.
ANSWER: a
78. Hormone pills or an IUD that can be used after unprotected intercourse to prevent pregnancy are known as:
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a. Abortifacients.
b. Plan C.
c. accidental coverage.
d. emergency contraception.
ANSWER: d
83. Which of the following are fertility awareness methods described in the textbook?
a. withdrawal, lactational amenorrhea method, and standard days method
b. lactational amenorrhea method, basal body temperature, and standard days method
c. calendar, basal body temperature, and standard days method
d. withdrawal, calendar, and standard days method
ANSWER: c
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Chapter 10 - Contraception
86. Misha and Niko avoid having unprotected intercourse on days eight through 19 of each menstrual cycle because
Misha’s menstrual cycles are 28 days long. Niko and Misha are practicing:
a. the standard days method.
b. the mucus method.
c. the calendar method.
d. the basal body temperature method.
ANSWER: a
87. Which fertility awareness method is based on cyclic changes of cervical mucus?
a. mucus method
b. calendar method
c. basal body temperature method
d. rhythm method
ANSWER: a
88. Rosa has been using the mucus method of birth control. She knows to avoid unprotected intercourse:
a. when her basal body temperature rises slightly.
b. when a white or yellow sticky discharge begins.
c. 24 hours after a cloudy discharge begins.
d. three days before she begins to menstruate.
ANSWER: b
89. The birth control method that involves recording multiple signs of fertility, including basal body temperature, cervical
mucus, and cervical position is known as:
a. rhythm method
b. standard days method
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c. ovulatory method
d. symptothermal method
ANSWER: d
91. The leading method of birth control in the United States and around the world is:
a. spermicide.
b. hormone-based contraceptives.
c. fertility awareness.
d. sterilization.
ANSWER: d
94. Michelle, who is 45, just underwent a transcervical sterilization. Which statement is true of Michelle?
a. She most likely had the procedure done in a doctor’s office using local anesthesia.
b. She most likely had to stay overnight in the hospital after the operation.
c. She can easily get this procedure reversed and have more children in the future if she desires.
d. She likely will experience a significant reduction in her sex drive and cessation of menstruation.
ANSWER: a
Chapter 10 - Contraception
a. He was likely hospitalized overnight during this procedure.
b. He should have his semen analyzed for active sperm before he resumes unprotected sex.
c. He can easily get this procedure reversed and have more children in the future if he desires.
d. He likely will experience a significant reduction in his sex drive.
ANSWER: b
97. Which of the following is the LEAST effective method of birth control with typical use?
a. Progesterone IUD
b. male condoms
c. sterilization
d. withdrawal
ANSWER: d
98. Boomer, who is 21 years old, withdraws before he ejaculates because he is not yet ready to be a father. Which
statement is true of Boomer?
a. He is using a highly effective form of contraception.
b. He should not be worried about not having enough time to withdraw because most men become aware they
are about to ejaculate at least three minutes before it occurs.
c. He is using an extremely uncommon method of contraception for a man his age.
d. Even if he is able to withdraw in time, may still get his partner pregnant due to preejaculatory secretions.
ANSWER: d
99. With respect to male contraceptive pills, research has shown that:
a. most women say they would trust their partners to use such a pill.
b. both men and women think that the responsibility for contraception lies with the women.
c. most women say they would not trust their partners to use such a pill.
d. few men say they would use a male contraceptive pill if it were available.
ANSWER: a
100. Which of the following is new method of contraception that is currently being explored for women?
a. a reversible form of oophorectomy
b. a 100% effective, reversible, and free contraceptive pill
c. spermicides that contain microbicides to reduce risk of STIs
Chapter 10 - Contraception
d. a female condom made from hemp
ANSWER: c
101. In ancient Egypt, women placed dried crocodile dung next to the cervix to prevent conception.
a. True
b. False
ANSWER: True
102. Women in developing countries have less of a need for contraception than those in more economically advantaged
nations.
a. True
b. False
ANSWER: False
105. The failure rate of a contraceptive is defined as the number of women out of 100 who become pregnant by the end of
the first year of using a particular method.
a. True
b. False
ANSWER: True
106. Blood clots, heart attacks, and liver tumors are rare but possible side effects of hormonal methods of birth control.
a. True
b. False
ANSWER: True
107. Because Depo-Provera only contains progestin, estrogen-related side effects do not occur.
a. True
b. False
ANSWER: True
Chapter 10 - Contraception
b. False
ANSWER: False
109. Missing even one dose of an oral contraceptive could result in a pregnancy.
a. True
b. False
ANSWER: True
110. The vaginal ring and the transdermal patch are both barrier methods of contraception.
a. True
b. False
ANSWER: False
111. Cervical barrier methods of contraception may need to be replaced after a woman gives birth or experiences a major
change in weight.
a. True
b. False
ANSWER: True
114. Women who use IUDs are more likely to switch methods of birth control after a year than women who use different
forms of contraception.
a. True
b. False
ANSWER: False
115. The use of the IUD as an exclusive form of birth control is best limited to women who are in monogamous
relationships and do not have other risk factors for sexually transmitted infections.
a. True
b. False
ANSWER: True
Chapter 10 - Contraception
a. True
b. False
ANSWER: False
117. Present research indicates that douching is not an effective form of birth control.
a. True
b. False
ANSWER: True
118. If a woman keeps a daily chart of changes in her vaginal secretions, she is probably practicing the standard days
method of birth control.
a. True
b. False
ANSWER: False
120. If a woman undergoes tubal sterilization, it will most likely have a negative effect on her sexual motivation.
a. True
b. False
ANSWER: False
121. Transcervical sterilization is the riskiest and most expensive of female sterilization procedures.
a. True
b. False
ANSWER: False
122. Sterilization is recommended only for those who desire a permanent method of birth control.
a. True
b. False
ANSWER: True
124. The movement of the water from douching prevents sperm from reaching the opening of the cervix.
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a. True
b. False
ANSWER: False
125. The ideal of 100% effective, reversible contraceptives for men and women—methods that also have no side effects
and protect against sexually transmitted infections—will, unfortunately, not be available anytime in the foreseeable future.
a. True
b. False
ANSWER: True
127. Taking the male point of view, describe how one could involve one’s partner in making shared birth control
decisions.
ANSWER: Answer not provided.
128. Taking the female point of view, describe how one could involve one’s partner in making shared birth control
decisions.
ANSWER: Answer not provided.
129. Describe three different types of oral contraceptives and explain the advantages and disadvantages of using this
method of birth control.
ANSWER: Answer not provided.
130. Describe the vaginal ring, transdermal patch, and contraceptive implant, and explain the advantages and
disadvantages of using these methods of birth control.
ANSWER: Answer not provided.
131. Describe how to use a male condom and explain the advantages and disadvantages of this method of birth control.
ANSWER: Answer not provided.
132. Describe the different types of cervical barrier devices, and the advantages and disadvantages of each.
ANSWER: Answer not provided.
134. What methods are available for emergency contraception? How available do you believe these should be for teens?
ANSWER: Answer not provided.
135. Briefly discuss three methods of birth control based on the menstrual cycle, outlining how they work and the
advantages and disadvantages of each.
ANSWER: Answer not provided.
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136. Describe the sterilization procedure available to men and its advantages and disadvantages.
ANSWER: Answer not provided.
137. List the sterilization procedures available to women and their advantages and disadvantages.
ANSWER: Answer not provided.
139. If you had the financial resources, in what area would you concentrate your research and development efforts for
future contraceptive methods?
ANSWER: Answer not provided.
140. Describe three future contraceptive use possibilities for both men and women.
ANSWER: Answer not provided.