C. Presence of factor V Leiden mutation
Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral
... [Show More] contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
A. Mother with a history of breast cancer
B. Personal history of hepatitis A at age 10 years
C. Presence of factor V Leiden mutation
D. Cigarette smoking one pack per day in a 22-year-old
A. Take the last pill missed immediately, even if this means taking 2 pills today
A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
A. Take the last pill missed immediately, even if this means taking 2 pills today
B. Discard two pills and take two pills today
C. Discard the rest of the pack and start a new pack with the first day of her next menses
D. Continue taking one pill daily for the rest of the cycle
D. Prementrual syndrome symptoms are often improved with use of COC
When counseling a woman about COC use, you advise that:
A. Long-term use of COC is discouraged because the body needs a "rest" from birth control pills from time to time
B. Fertility is often delayed for many months after discontinuation of COC
C. There is an increase in the rate of breast cancer after protracted use of COC
D. Prementrual syndrome symptoms are often improved with use of COC
C. Cervicitis
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
C. A 32-year-old woman with adequately-controlled hypertension
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
B. Inconvenience of use
The most common reasons for discontinuing oral contraception use is breakthrough bleeding and :
A. Nausea/vomiting
B. Inconvenience of use
C. Cost
D. High failure rate
D. Vaginal diaphragm
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
B. 31-year-old woman with history of naturally occurring multiple gestation pregnancy
Due to an increased risk of blood clots, an alternative to the contraceptive ring (NuvaRing) or patch (Ortha Evra) is preferred in all of the following women except:
A. 42-year-old nulliparous woman
B. 31-year-old woman with 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
C. After insertion, the cervix should be smoothly covered
Which of the following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal walls
B. This is a suitable form of contraception for women with recurrent urinary tract infection
C. After insertion, the cervix should be smoothly covered
D. The device should be removed within 2 hours of coitus to minimize the risk of infection
B. AIDS-defining illness
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 [Show Less]