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Natural Methods of contraception

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Total Questions : 5

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Question 1:

The method of contraception that involves monitoring a woman's menstrual cycle and avoiding intercourse during her fertile window is called ?

A. natural family planning B. hormonal methods C. intrauterine methods D. barrier methods

Answer and Explanation

Choice A:

Natural family planning is a method of contraception that involves monitoring a woman’s menstrual cycle and avoiding intercourse during her fertile window. This is based on the observation of the signs and symptoms of fertility, such as the length of the menstrual cycle, the body temperature, and the cervical secretions.

Choice B:

hormonal methods are methods of contraception that use hormones to prevent ovulation, such as pills, patches, injections, implants, and rings.

Choice C:

intrauterine methods are methods of contraception that involve inserting a device into the uterus to prevent implantation, such as copper IUDs and hormonal IUDs.

Choice D:

barrier methods are methods of contraception that prevent sperm from reaching the egg, such as condoms, diaphragms, caps, and spermicides.

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Question 2:

What is the term for surgical methods of contraception ?

A. permanent sterilization B. hormonal methods C. natural family planning D. barrier methods

Answer and Explanation

Choice A:

Surgical methods of contraception involve procedures that block or cut the reproductive organs of men or women, preventing them from producing or releasing gametes. These methods are also known as sterilization and are considered permanent and irreversible.

Choice B:

Hormonal methods of contraception use synthetic hormones to prevent ovulation, thicken cervical mucus, or thin the uterine lining. These methods are not surgical and can be reversed by stopping the use of hormones

Choice C:

Natural family planning methods rely on observing the signs of fertility and avoiding sexual intercourse during the fertile days of the menstrual cycle. These methods are not surgical and do not involve any devices or drugs.

Choice D:

Barrier methods of contraception use physical or chemical barriers to prevent sperm from reaching the egg. These methods include condoms, diaphragms, cervical caps, spermicides, and sponge. These methods are not surgical and can be removed or discontinued at any time.

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Question 3:

A nurse is teaching a client about natural family planning methods.

Which of the following statements by the client indicates a need for further teaching?

A. "I will avoid intercourse during the days 8 to 19 of my menstrual cycle.". B. "I will check my cervical mucus every day to monitor my fertility.". C. "I will use a basal body thermometer to measure my temperature every morning.". D. "I will take an ovulation predictor kit to confirm when I am ovulating.".

Answer and Explanation

Choice A:

This statement indicates a need for further teaching because it is based on the standard days method of natural family planning, which assumes that ovulation happens near mid-cycle and that the fertile window is fixed. However, this method is not reliable for women who have irregular or variable menstrual cycles, or who ovulate at different times. A more accurate way to determine the fertile days is to monitor and record the changes in cervical mucus, basal body temperature, and other signs of ovulation.

Choice B:

Checking the cervical mucus every day is one of the methods of natural family planning that can help a woman identify her fertile days. The cervical mucus becomes clear, stretchy, and wet when ovulation is approaching, indicating high fertility.

Choice C:

Measuring the basal body temperature every morning is another method of natural family planning that can help a woman identify her fertile days. The basal body temperature rises slightly after ovulation and stays elevated until the next period, indicating low fertility.

Choice D:

Using an ovulation predictor kit to confirm when ovulation is occurring is also a method of natural family planning that can help a woman identify her fertile days. An ovulation predictor kit detects the surge of luteinizing hormone

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Question 4:

A nurse is counseling a client who wants to use a barrier method of contraception.

Which of the following factors should the nurse consider when recommending a barrier method?

A. The client's preference and c1omfort level with the method B. The client's history of sexually transmitted infections (STIs) C. The client's frequency and regularity of sexual activity D. All of the above

Answer and Explanation

Choice A:

The client’s preference and comfort level with the method are important for adherence and satisfaction. Different types of barrier methods have different advantages and disadvantages, such as ease of use, cost, availability, and side effects. The client should be informed about the options and choose the one that suits them best.

Choice B:

The client’s history of STIs affects the choice of barrier method. Some barrier methods, such as condoms (male and female), can also protect against STIs by preventing contact with skin and fluids. However, other barrier methods, such as diaphragms and cervical caps, do not offer STI protection and may increase the risk of urinary tract infections (UTIs) or toxic shock syndrome (TSS) if not used correctly

Choice C:

The client’s frequency and regularity of sexual activity influences the convenience and effectiveness of barrier methods. Some barrier methods, such as spermicides, films, foams, creams, and gels, need to be inserted before each act of sex and have a limited duration of action. Other barrier methods, such as condoms, need to be used every time sex occurs and disposed of properly after use. Some barrier methods, such as diaphragms and cervical caps, can be inserted up to 6 hours before sex and need to be left in place for at least 6 hours after sex

Choice D:

All of the above factors should be considered when recommending a barrier method of contraception.

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Question 5:

A nurse is providing education to a client who is prescribed a hormonal patch for contraception.

Which of the following instructions should the nurse include?

A. Apply the patch to the same site every week B. Change the patch every 3 weeks and skip the fourth week C. Use a backup method of contraception for the first 7 days of patch use D. Report any signs of thromboembolism, such as leg pain or chest pain

Answer and Explanation

Choice A:

The client should not apply the patch to the same site every week. This can cause skin irritation and reduce the effectiveness of the patch. The client should rotate the patch site among four areas: the upper arm, the abdomen, the buttock, or the back.

Choice B:

The client should change the patch every week, not every 3 weeks. Changing the patch every 3 weeks would result in low hormone levels and increased risk of pregnancy. The client should have a patch-free week after 3 weeks of using the patch.

Choice C:

The nurse should instruct the client to use a backup method of contraception for the first 7 days of patch use. This is because it takes about a week for the hormones in the patch to reach a level that prevents ovulation. The client should also apply a new patch every week for 3 weeks, and then have a patch-free week to allow for menstrual bleeding.

Choice D:

The nurse should instruct the client to report any signs of thromboembolism, such as leg pain or chest pain, as these can be serious complications of using hormonal contraception. However, this instruction alone is not enough to ensure safe and effective use of the patch. The client also needs to know how to apply, change, and remove the patch correctly.

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Natural Methods of contraception

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