Postnatal Contraception Quiz
Name
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First Name
Last Name
Trust/ Hospital
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Email
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1. How many weeks after birth can fertility return?
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Immediately
3 weeks
6-8 weeks
6 months
2. How soon after birth can periods return?
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3 weeks
5-6 weeks
4 months
1 year
3. What are the benefits of having postnatal contraception?
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Reduces unwanted pregnancy
Lowers termination rate
Helps women delay, space or limit their pregnancies
Reduces harm from short inter-pregnancy spacing
All of the above
4. What does the Word Health Organisation recommend as an optimal spacing after the birth of a baby?
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6 months
12 months
18-24 months
3 years
5. What risks are there to a mother or baby from short inter-pregnancy spacing?
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Higher risk of preterm birth
Higher risk if low birth weight of SGA baby
Higher rates of stillbirth
Higher rates of neonatal death
All of the above
6. How soon should women start taking the Progesterone only Pill (POP) after birth?
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Anytime after birth and less than 21 days
After their first period
When they stop breastfeeding
After 3 months
7. How effective is the POP if taken correctly?
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Less than 75%
80%
95%
Over 99%
8. How do POP work?
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Prevent ovulation
Thickens mucus around the cervix to prevent sperm from reaching the egg
Thin the lining of the uterus to reduce chance of implantation
All of the above
9. Select the potential side effects from taking the POP Desogestrel? (select 1 or more)
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Insomnia
Acne, mood/ libido changes, weight changes
Blood clots, nose bleeds
Irregular bleeding, headache, breast tenderness
10. True or False- if a women take Desogestrel more than 3 hours later there is a risk of pregnancy?
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True
False
11. If a women is more than 12 hours late taking the pill, Desogestrel 75mg will be effective at preventing pregnancy if... (select 2)
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She takes is correctly for 48hours
She uses alternative contraception/ abstains from sex in the meantime
She takes it correctly for 72hours
She is also breastfeeding exclusively
12. True or False, Cerelle or Cerazette may be prescribed for women with peanut or soya allergy instead of Desogestrel?
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True
False
13. Which of these is a contraindication for Desogestrel?
Previous stroke/ TIA when taking contraception in the past
Previous or current breast cancer
May not be able to absorb the pill due to gastrointestinal problems or surgery
BMI over 30
14. How effective is Depo Provera injection if used correctly?
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95%
Less than 75%
80%
Over 99%
15. How should you give Depo Provera injections? (select 2 or more)
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Shake the syringe/ vial vigorously before administration
Deep IM injection into the gluteal (preferred) or deltoid muscle
Ensure that the full contents of the syringe/ vial is administered
Massage the injection site to help absorption
16. How soon after birth can you administer a Depo injection?
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After her first period
After 3 months
Anytime after birth
When she stop breastfeeding
17. How long with a Depo injection last?
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4 weeks
8 weeks
13-14 weeks
6 months
18. Select the possible side effects of the Depo injection?
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Headaches, dizziness, mood/ libido changes
Weight changes, breast tenderness, abdominal discomfort/ distension
Disturbance bleeding, nausea, alopecia, acne, rash
Loss of bone mineral density, acne, genitourinary tract infections
All of the above
19. Which side effect may be worse in Depo is given soon after birth?
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Rash
Nausea
Disturbed bleeding- may be heavy and irregular
Weight changes
20. Which of the following are risks with Depo injections
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Small risk or reduced bone mineral density due to lower oestrogen levels
Fertility may take up to a year to return
Weak association with increased breast cancer risk
All of the above
Total point is
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