Gynecology Quiz: Contraception and Abnormal Bleeding

Which statement is FALSE regarding Emergency Contraception (EC)? A. Emergency Contraception is an abortifacient. B. The biggest concern regarding the use of EC is a person's access to it. C. Emergency contraception works by preventing or delaying ovulation, preventing fertilization, and/or preventing implantation

A. Emergency Contraception is an abortifacient.

Benefits of barrier methods of birth control include: A. They do not rely on access to a health care provider for people to acquire them. B. They are a permanent birth control method. C. They are all covered by health insurance. D. They stop ovulation.

A. They do not rely on access to a health care provider for people to acquire them.

To avoid interfering with establishment of breastfeeding supply, recommendations for postpartum contraception: A. may include IUDs, minipills, and LAM B. should only focus on breastfeeding C. avoids all forms of pills D. includes all forms of pills

A. may include IUDs, minipills, and LAM

Treatments for heavy menstrual bleeding include: All of these are appropriate treatments NSAID therapy Hormone therapy Uterine ablation

All of these are appropriate treatments

Choose the correct birth control method that does not contain hormones, is effective for 10 years, and common side effects include heavy bleeding and cramping with menses A. IUS (Mirena, Liletta, Skyla) B. IUD (Paragard) C. Implanon D. Diaphragm

B. IUD (Paragard)

Your female-identifying client is 2 weeks postpartum and breastfeeding. She wants to start birth control now because they know they will start having intercourse with in the month. This recent pregnancy was unplanned and they don't want any more "surprises". Your BEST response is: A. Because you are so fertile, you should try a combined oral contraceptive for the best protection. B. You can use progestin-only birth control during early lactation. C. You don't need to worry about birth control for 6 months since you are breastfeeding. D. You could start NuvaRing today since you are breastfeeding.

B. You can use progestin-only birth control during early lactation.

Choose the correct birth control method: Side effects include: irregular or unpredictable bleeding, weight gain, and depression A. Paragard IUD B. Combined estrogen-progesterone methods C. DMPA D. Essure

C. DMPA

Which of the following is a non-contraceptive benefit to COCs (combined oral contraceptives)? A. decrease in menstrual pain B. decrease in endometrial cancer C. all of these are non-contraceptive benefits D. decrease in ovarian cancer risk

C. all of these are non-contraceptive benefits

When counseling a patient of size about their contraceptive options, it is important to tell them which hormonal option is contraindicated with a BMI greater than 30. No answer text provided. Combined oral estrogen-progesterone methods Combined transdermal patches Nuva Ring Progesterone only pills

Combined transdermal patches

Postpartum contraception for a breastfeeding parent at 6 weeks: A. Should only focus on the lactation amenorrhea method B. Avoids all forms of pills C. Includes all forms of pills D. May include IUDs, minipills, and LAM

D. May include IUDs, minipills, and LAM

Choose the correct birth control method: must be taken at the same time every day to be most effective and a good choice for breastfeeding parents A.Nuva-ring B. Combined oral contraceptives C. IUD D. Progesterone only pills

D. Progesterone only pills

Which of the following are included in the list of contraindications to insertion of an IUD/IUS? A. History of ectopic pregnancy B. History of pelvic infection after pregnancy C. History of abnormal Pap D. Uterine anomaly E. History of PID last year

D. Uterine anomaly

True or False: Pregnancy is a cause of primary amenorrhea. False True

False

True or False: The use of oral contraceptive pills (OCPs) increases a person's risk of chlamydia and herpes simplex (HSV). True False

False* But arguably people on COC may be less likely to use a barrier method to protect against STIs and thus may be more likely to contract an STI

Your postpartum client is feeling really overwhelmed by the contraception decision, but she desperately does not want another pregnancy. She reports bleeding and spotting for 13 weeks with Depo Provera; she tried the pill but forgot to take it and that's how she conceived the baby you just delivered. She wants a method that is highly effective. She has no history or family history of cancer, all her paps have been normal, her BMI is in the healthy weight category, and she does not suffer from any chronic diseases. You have provided excellent contraceptive education on all methods. She is asking for your advice because she does not believe she will get good counseling with her OB/GYN practice. What method do you suggest to her? IUD (Paragard) Diaphragm and contraceptive gel IUS (Mirena, Liletta, Skyla) Condoms Nexplanon

IUD (Paragard)

Your client returns for postpartum care after an antepartum transfer for hypertension. They are now on blood pressure medication and would like your advice on possible contraceptive options. You discuss several methods including, which of the following options: IUS (Mirena, Liletta, Skyla) progesterone only pills Patches (Ortho Evra) IUD (Paragard) Nuva-ring

IUS (Mirena, Liletta, Skyla) progesterone only pills IUD (Paragard)

In your initial visit, your client report cycles that occur regularly, every 35 days. You note in their chart that they have: Irregular, infrequent cycles Transient amenorhhea Regular, infrequent cycles Regular, normal cycles

Regular, normal cycles

True or False: Dysfunction of the pituitary gland can cause amenorrhea. True False

True

Your postpartum client has decided not to breastfeed. In your 6 week postpartum visit, they tell you that they want to start a contraceptive method but state: "I don't want anything injected or inserted in me by my healthcare provider, my partner won't use condoms, and I will not take pills." They have no history of contraindications to any method, and want a method with high effectiveness. What methods are you thinking might be a good option for them? Choose all that apply. etonogestrel/ethinyl estradiol vaginal ring progesterone only pills Transdermal contraceptive patch diaphragm and contraceptive gel etonogestrel implants copper IUD

etonogestrel/ethinyl estradiol vaginal ring Transdermal contraceptive patch

Abnormal uterine bleeding (AUB) is either caused by structural abnormalities or non-structural abnormalities. Which of the following is a typical STRUCTURAL abnormality that can cause AUB? none of these are structural abnormalities leiomyomas ovulating dysfunction coagulopathy

leiomyomas

Other than concerns about affecting breastfeeding supply, what is the main concern you would have for the initiation of a combined estrogen-progestin contraceptives before 21 days postpartum?

venous thromboembolism