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Contraceptive Technology and Reproductive Health Series: Contraception After Pregnancy Post-test Section I: Contraception After Pregnancy 1.

The following statements relate to contraception after pregnancy. Please indicate whether each statement is True or False. a. All hormonal contraceptives have a negative effect on milk production. True False b. All nonhormonal contraceptive methods can be initiated immediately after childbirth. True False c. Lactational amenorrhea method LA!" provides more than #$ percent protection from pregnancy. True False d. There is no difference in the techni%ue for inserting an &'( immediately after delivery and inserting it si) months later. True False e. *hildren are more likely to survive if born two or more years after the preceding birth. True False f. +onbreastfeeding women postpartum should wait three months before beginning contraception. True False g. All contraceptive methods can be started immediately after uncomplicated first, or second, trimester abortions. True False h. &'(s should not be inserted after abortion in cases where infection is suspected. True False i. &'(s should never be inserted earlier than four weeks postpartum. True False -. .terili/ation is safe to perform immediately after abortion0 even if the woman is hemorrhaging. True False k. Postabortion counseling increases contraceptive use. True False 1. *linical studies have shown the advantages of meeting the need for contraception after pregnancy include which of the following2 *heck all that apply. a. 3eduction in maternal mortality. b. 3eduction in paternal mortality. c. 3eduction in infant mortality. d. 3eduction in divorce rate. 4. 5ays to improve facilities for integrated health and family planning services should include6 a. Private areas for counseling women. b. Ade%uate supplies of contraceptive methods. c. .torage facilities for contraceptive methods. d. All of the above. 7. Training for providers of family planning services should focus on which of the following2 *heck all that apply. a. *ommunication skills. b. 8ow to help women make voluntary informed choices. c. 8ow to be reasonably sure a woman is not pregnant. d. *haracteristics of contraceptive methods and initiation time postpartum and postabortion. e. All of the above.

9. (uring family planning counseling after pregnancy0 a provider should discuss which of the following2 a. .hort, and long,term reproductive goals. b..afety0 effectiveness0 mechanisms of action and side effects for appropriate methods. c. (etailed information on the client:s chosen method. d. All of the above. e. +one of the above. ;. *ounseling for 8&<,positive women after pregnancy should include which of the following2 *heck all that apply. a. Training in the correct and consistent use of male and female condoms. b. 3eligious counseling0 regardless of the client:s beliefs. c. Advice on dual method contraceptive use. d. 8ow to talk to their partner s" about condom use. Section II: Contraceptive Options After Childbirth =. LA! is considered to be a very effective method of contraception for up to6 a. Three months postpartum. b. .i) months postpartum. c. +ine months postpartum. d. 11 months postpartum. $. 5hen can &'( insertion be performed2 *heck all that apply. a. 5ithin the first 7$ hours postpartum. b. 5ithin the first =1 hours postpartum. c. 5ithin the first week after delivery. d. .i) weeks after delivery. e. At any time. #. Please indicate whether the following statement is True or False. 3esearch has shown that &'( e)pulsion rates at si) months postpartum were lower when performed by an e)perienced provider trained in immediate postpartum insertion techni%ue. True False 1>. 5hich two of the following are the most appropriate times to perform sterili/ation postpartum2 a. 5ithin 7$ hours after delivery. b. Two weeks after delivery. c. .i) weeks after delivery. 11. !ale sterili/ation is considered effective6 a. immediately after procedure. b. four weeks after procedure. c. si) weeks after procedure. d. 11 weeks after procedure.

11. *ontraceptive methods that can be initiated by breastfeeding women immediately after delivery include which of the following2 *heck all that apply. a. *ondoms. b. (iaphragms. c. Periodic abstinence. d. (!PA. e. &'(s. f. *ombined oral contraceptives. g. Female sterili/ation. 14. *ontraceptive methods that should not be initiated by nonbreastfeeding women immediately after delivery include which of the following2 *heck all that apply. a. *ondoms. b. (iaphragms. c. Periodic abstinence. d. (!PA. e. &'(s. f. *ombined oral contraceptives. g. Female sterili/ation. 17. Fertility will most likely return earliest for6 a. +onbreastfeeding women postpartum. b. ?reastfeeding women postpartum. c. 5omen postabortion. 19. (iaphragms and cervical caps can be fitted immediately for6 a. +onbreastfeeding women postpartum. b. ?reastfeeding women postpartum. c. 5omen after uncomplicated second,trimester abortion. d. All of the above. e.+one of the above. 1;. Please indicate whether each statement is True or False. a. (uring childbirth is a good time to talk to a woman about sterili/ation. True False b. Prenatal visits provide good opportunities for talking with women about family planning. True False c. 8ealth care providers should take advantage of pre, and postabortion counseling to offer family planning services. True False d. A woman should be encouraged to discontinue breastfeeding three months after giving birth to enable her to use a hormonal contraceptive method. True False e. 8ealthcare providers should encourage women to fully breastfeed. True False f. 8&<,positive women may infect their children during breastfeeding. True False 1=. 5hich of the following are true for progestin,only methods of contraception2 *heck 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 pills0 in-ectables0 implants and the levonorgestrel intrauterine system. Section III: Contraceptive Options After Abortion 1$. *ounseling the partners of clients after abortion can do which of the following2 *heck all that apply. a. &ncrease contraceptive use in all countries. b. (ecrease contraceptive use in some countries. c. &ncrease awareness and use of vasectomy. d. &nterfere with client,provider relationship. 1#. A woman comes in for counseling who has -ust had an uncomplicated first,trimester abortion. *heck all the contraceptive methods she can use immediately0 regardless of her situation6 a. *ondoms. b. (iaphragms. c. (!PA. d. &'(s. e. *ervical caps. f. *ombined oral contraceptives. g. Female sterili/ation. 1>. A woman comes in for contraceptive counseling who has complications from an abortion0 including hemorrhaging and infection. *heck all the contraceptive methods she can use immediately6 a. *ondoms. b. Periodic abstinence. c. (!PA. d. &'(s. e. *ombined oral contraceptives. f. Female sterili/ation.