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Contraception After Pregnancy
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Self-Study Post-Test for
Contraception After Pregnancy

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Section 1: Contraception After Pregnancy

1. The following statements relate to contraception after pregnancy. Please indicate whether each
    statement is True (T) or False (F).

 T  /  F

  

a. All hormonal contraceptives have a negative effect on milk production.

b. All nonhormonal contraceptive methods can be initiated immediately after childbirth.

c. Lactational amenorrhea method (LAM) provides more than 98 percent protection
    from pregnancy.

d. There is no difference in the technique for inserting an IUD immediately after delivery
    and inserting it six months later.

e. Children are more likely to survive if born two or more years after the preceding birth.

f. Nonbreastfeeding women postpartum should wait three months before beginning
    contraception.

g. All contraceptive methods can be started immediately after uncomplicated first- or
    second-trimester abortions.

h. IUDs should not be inserted after abortion in cases where infection is suspected.

i. IUDs should never be inserted earlier than four weeks postpartum.

j. Sterilization is safe to perform immediately after abortion, even if the woman is
    hemorrhaging.

k. Postabortion counseling increases contraceptive use.

2. Clinical studies have shown the advantages of meeting the need for contraception after
    pregnancy include which of the following? Check all that apply.
   a. Reduction in maternal mortality.
   b. Reduction in paternal mortality.
   c. Reduction in infant mortality.
   d. Reduction in divorce rate.

3. Ways to improve facilities for integrated health and family planning services should include:
   a. Private areas for counseling women.
   b. Adequate supplies of contraceptive methods.
   c. Storage facilities for contraceptive methods.
   d. All of the above.

4. Training for providers of family planning services should focus on which of the following?
    Check all that apply.
   a. Communication skills.
   b. How to help women make voluntary informed choices.
   c. How to be reasonably sure a woman is not pregnant.
   d. Characteristics of contraceptive methods and initiation time postpartum and postabortion.
   e. All of the above.

5. During family planning counseling after pregnancy, a provider should discuss which of the
    following?
   a. Short- and long-term reproductive goals.
   b. Safety, effectiveness, mechanisms of action and side effects for appropriate methods.
   c. Detailed information on the client's chosen method.
   d. All of the above.
   e. None of the above.

6. Counseling for HIV-positive women after pregnancy should include which of the following?
    Check all that apply.
   a. Training in the correct and consistent use of male and female condoms.
   b. Religious counseling, regardless of the client's beliefs.
   c. Advice on dual method contraceptive use.
   d. How to talk to their partner(s) about condom use.

Section 2: Contraceptive Options After Childbirth

7. LAM is considered to be a very effective method of contraception for up to:
   a. Three months postpartum.
   b. Six months postpartum.
   c. Nine months postpartum.
   d. 12 months postpartum.

8. When can IUD insertion be performed? Check all that apply.
   a. Within the first 48 hours postpartum.
   b. Within the first 72 hours postpartum.
   c. Within the first week after delivery.
   d. Six weeks after delivery.
   e. At any time.

9. Please indicate whether the following statement is True (T) or False (F).

 T  /  F

  

Research has shown that IUD expulsion rates at six months postpartum were lower when performed by an experienced provider trained in immediate postpartum insertion technique.

10. Which two of the following are the most appropriate times to perform sterilization postpartum?
   a. Within 48 hours after delivery.
   b. Two weeks after delivery.
   c. Six weeks after delivery.

11. Male sterilization is considered effective:
   a. Immediately after procedure.
   b. Four weeks after procedure.
   c. Six weeks after procedure.
   d. 12 weeks after procedure.

12. Contraceptive methods that can be initiated by breastfeeding women immediately after delivery
    include which of the following? Check all that apply.
   a. Condoms.
   b. Diaphragms.
   c. Periodic abstinence.
   d. DMPA.
   e. IUDs.
   f. Combined oral contraceptives.
   g. Female sterilization.

13. Contraceptive methods that should not be initiated by nonbreastfeeding women immediately
    after delivery include which of the following? Check all that apply.
   a. Condoms.
   b. Diaphragms.
   c. Periodic abstinence.
   d. DMPA.
   e. IUDs.
   f. Combined oral contraceptives.
   g. Female sterilization.

14. Fertility will most likely return earliest for:
   a. Nonbreastfeeding women postpartum.
   b. Breastfeeding women postpartum.
   c. Women postabortion.

15. Diaphragms and cervical caps can be fitted immediately for:
   a. Nonbreastfeeding women postpartum.
   b. Breastfeeding women postpartum.
   c. Women after uncomplicated second-trimester abortion.
   d. All of the above.
   e. None of the above.

16. Please indicate whether each statement is True (T) or False (F).

 T  /  F

  

a. During childbirth is a good time to talk to a woman about sterilization.

b. Prenatal visits provide good opportunities for talking with women about family
    planning.

c. Health care providers should take advantage of pre- and postabortion counseling to
    offer family planning services.

d. A woman should be encouraged to discontinue breastfeeding three months after
    giving birth to enable her to use a hormonal contraceptive method.

e. Healthcare providers should encourage women to fully breastfeed.

f. HIV-positive women may infect their children during breastfeeding.

17. Which of the following are true for progestin-only methods of contraception?
    Check all that apply.
   a. They are safe for nonbreastfeeding women.
   b. They can be started immediately after birth for breastfeeding women.
   c. They affect milk production and infant growth.
   d. They include pills, injectables, implants and the levonorgestrel intrauterine system.

Section 3: Contraceptive Options After Abortion

18. Counseling the partners of clients after abortion can do which of the following?
    Check all that apply.
   a. Increase contraceptive use in all countries.
   b. Decrease contraceptive use in some countries.
   c. Increase awareness and use of vasectomy.
   d. Interfere with client-provider relationship.

19. A woman comes in for counseling who has just had an uncomplicated first-trimester abortion.
    Check all the contraceptive methods she can use immediately, regardless of her situation:
   a. Condoms.
   b. Diaphragms.
   c. DMPA.
   d. IUDs.
   e. Cervical caps.
   f. Combined oral contraceptives.
   g. Female sterilization.

20. A woman comes in for contraceptive counseling who has complications from an abortion,
    including hemorrhaging and infection. Check all the contraceptive methods she can use
    immediately:
   a. Condoms.
   b. Periodic abstinence.
   c. DMPA.
   d. IUDs.
   e. Combined oral contraceptives.
   f. Female sterilization.

When all questions have been completed, please submit your answers.