WorksheetsCFP 3RD EXAM-FEVIE ALAMEDA
Total questions: 50
Worksheet time: 38mins
Name
Class
Date
1.
A 22‑year‑old woman comes to the clinic requesting a contraceptive method. She has regular menstrual cycles, is not breastfeeding, and prefers a reversible method. She chooses combined oral contraceptives (COCs). Which of the following is the best advice regarding when she can start taking COCs?
a)
Any day of her cycle, no need for backup
b)
After her period ends, without protection
c)
During the first 5 days of her menstrual cycle
d)
2 weeks after menstruation
2.
A 3-month postpartum mother who is exclusively breastfeeding her baby visits the barangay health station. She asks if she can begin using combined oral contraceptives (COCs) as her chosen reversible method. What is the best advice the midwife should give regarding COC use in this situation?
a)
Yes, she can start immediately
b)
She can start at 4 weeks postpartum
c)
No, she should wait until 6 months postpartum or when breastfeeding stops
d)
Only if she has her period
3.
A 28-year-old woman returns to the barangay health station one month after starting combined oral contraceptives (COCs). She reports mild nausea and breast tenderness but no serious symptoms. Which of the following is the most appropriate advice the midwife should give?
a)
Stop the pills immediately
b)
Switch to progestin-only pills
c)
Continue taking the pills, as these side effects are common and usually resolve
d)
Skip a pill every other day
4.
A 35-year-old woman visits the barangay health station requesting to start combined oral contraceptives (COCs). She smokes approximately 15 sticks of cigarettes per day and has no other known medical conditions. Which of the following is the correct advice the midwife should give regarding COC use in this case?
a)
COare safe for her
b)
COare contraindicated due to increased risk of cardiovascular events
c)
She can take low-dose CO
d)
Advise her to take COonly on alternate days
5.
A woman using combined oral contraceptives (COCs) missed two consecutive pills and had unprotected intercourse yesterday. She comes to the barangay health station seeking advice. Which of the following is the most appropriate recommendation the midwife should give?
a)
Continue taking pills and wait for next cycle Stop pills and start new pack after 1 week
b)
Take the most recent missed pill, continue pack, use backup for 7 days, and consider E
c)
Skip hormone-free week
6.
A 25-year-old woman using combined injectable contraceptives (CICs) is scheduled for her next injection today. However, she informs the midwife that she cannot return until next week. Which of the following is the most appropriate advice the midwife should give?
a)
She can delay injection for up to 2 weeks without risk
b)
Wait for next menstruation
c)
Delay increases risk of pregnancy — use backup method until injection
d)
No need for follow-up, effect is prolonged
7.
A 27-year-old woman using combined oral contraceptives (COCs) presents at the barangay health station with complaints of severe leg pain and swelling. She has no history of trauma or recent physical strain. Which of the following is the most appropriate immediate action the midwife should take?
a)
Reassure her it’s normal
b)
Stop COand refer immediately for possible thrombosis
c)
Advise her to rest and continue the pill
d)
Change to a different brand
8.
A client taking combined oral contraceptives (COCs) is prescribed Rifampicin for a medical condition. She asks the midwife if her pills will still be effective. Which of the following is the correct advice the midwife should give?
a)
Rifampicin decreases COC effectiveness; use backup
b)
No effect, continue as usual
c)
Rifampicin increases pill effect
d)
Stop COpermanently
9.
A woman using combined oral contraceptives (COCs) reports vomiting 2 hours after taking her pill. She asks the midwife what she should do to maintain contraceptive protection. Which of the following is the most appropriate action the midwife should recommend?
a)
Take another pill as soon as possible
b)
Wait until symptoms stop before resuming
c)
Skip today’s pill and continue tomorrow
d)
Stop pills for 3 days
10.
A 30-year-old woman visits the barangay health station to inquire about combined oral contraceptives (COCs). She asks the midwife to explain the advantages of using COCs. Which of the following is NOT an advantage of COC use?
a)
Regulates menstrual cycle
b)
Protects against ovarian and endometrial cancers
c)
Reduces menstrual cramps and bleeding
d)
Increases risk of pelvic inflammatory disease
11.
A woman using combined oral contraceptives (COCs) tells the midwife that she often forgets to take her pills and finds the routine stressful. She asks for a more suitable contraceptive method. Which of the following methods would be most suitable for her?
a)
Combined injectable contraceptive
b)
Fertility awareness
c)
Withdrawal method
d)
Lactational amenorrhea
12.
A 23-year-old woman visits the barangay health station to start oral contraceptive pills. She shares that she sometimes forgets routines and prefers a simple, easy-to-follow schedule. Which of the following types of combined oral contraceptive (COpacks would be most appropriate to start with?
a)
Biphasic pills
b)
Triphasic pills
c)
Quadriphasic pills
d)
Monophasic pills
13.
A 19-year-old student started combined oral contraceptives (COCs) 10 days after her last menstrual period and did not use backup contraception. She reports unprotected sex 3 days later and asks the midwife what to do. Which of the following is the most appropriate midwifery advice?
a)
Continue pills as usual, no backup needed
b)
Continue pills and use condoms for 7 days
c)
Stop pills and wait for next menses
d)
Take double dose of pills for 2 days
14.
A woman using combined oral contraceptives (COCs) forgot to take her pill for 2 consecutive days (≥48 hours missed). She reports unprotected sex yesterday and asks the midwife what to do. Which of the following is the most appropriate action the midwife should take?
a)
Take all missed pills immediately
b)
Discontinue the pack and start a new one
c)
Take one pill now, use backup for 7 days, and consider emergency contraception
d)
Skip hormone-free interval
15.
A 40-year-old woman with well-controlled hypertension visits the barangay health station and expresses interest in using combined oral contraceptives (COCs). She has no other known medical conditions. Which of the following is the best advice the midwife should give regarding COC use in this case?
a)
COare contraindicated due to increased cardiovascular risk
b)
Use low-dose estrogen pills
c)
COcan be used with careful blood pressure monitoring
d)
Skip placebo pills to reduce hormone fluctuations.
16.
A client using combined oral contraceptives (COCs) returns to the barangay health station reporting frequent nausea and breast tenderness during the first few weeks of use. She asks the midwife what to do. Which of the following is the most appropriate advice the midwife should give?
a)
Continue current pill; symptoms usually resolve in 3 months
b)
Take pills with an empty stomach
c)
Stop pills immediately
d)
Switch to a higher estrogen dose
17.
A woman using combined oral contraceptives (COCs) asks the midwife if she can skip the placebo pills to avoid having her period during an upcoming vacation. Which of the following is the best response the midwife should give?
a)
No, skipping is unsafe
b)
She should stop the pills for 10 days instead
c)
Yes, it’s safe to skip the placebo week and start a new pack
d)
She must use emergency contraception after skipping
18.
A 27-year-old woman visits the barangay health station and expresses interest in using a vaginal ring because she often forgets her daily pills. She reports occasional smoking but is otherwise healthy. Which of the following is the most appropriate action the midwife should take?
a)
Approve use since she is under 35 years old
b)
Suggest an IUD instead
c)
Advise against it because she smokes at any age
d)
Advise her to stop smoking for one month before use
19.
A woman using the vaginal ring removes it during intercourse and forgets to reinsert it for more than 48 hours. She comes to the barangay health station asking what to do. Which of the following is the most appropriate advice the midwife should give?
a)
Reinsert the ring immediately and continue as normal
b)
Wait for next menses to insert a new ring
c)
Insert a new ring and use backup contraception for 7 days
d)
Use emergency contraception and continue same ring
20.
A client using the vaginal ring returns to the barangay health station reporting nausea and mild breast tenderness during her first month of use. She asks the midwife what to do. Which of the following is the most appropriate midwifery action?
a)
Stop using the ring immediately
b)
Replace with a new ring immediately
c)
Reassure that symptoms are temporary
d)
Refer to physician for hormonal testing
21.
A 39-year-old woman visits the barangay health station and asks if she can use the vaginal ring for contraception. She reports having migraines with aura but is otherwise healthy. Which of the following is the best advice the midwife should give?
a)
She can use the ring with caution
b)
The ring is contraindicated due to risk of stroke
c)
She can use it if her migraines are mild
d)
Switch to triphasic oral contraceptives
22.
A woman currently taking antiviral medication for hepatitis asks the midwife if she can use a vaginal ring for contraception. Which of the following is the most appropriate action the midwife should take?
a)
Approve use of the ring
b)
Recommend emergency pills instead
c)
Advise against it; interaction may affect hormone metabolism
d)
Suggest using two rings to increase hormone absorption
23.
A 25-year-old woman using the vaginal ring removes it after completing 3 weeks of use. She forgets to insert a new ring after the usual 7-day ring-free interval. It has now been 10 days since removal. She asks the midwife what to do. Which of the following is the most appropriate advice the midwife should give?
a)
Insert the ring immediately and use backup contraception for 7 days
b)
Insert and skip backup methods
c)
Wait until her next menstrual period
d)
Take a pregnancy test after 3 months
24.
During contraceptive counseling, a client asks the midwife how the vaginal ring prevents pregnancy. Which of the following statements is most accurate?
a)
It blocks sperm physically from reaching the cervix
b)
It only prevents implantation
c)
It thickens cervical mucus and suppresses ovulation
d)
It alters vaginal pH to kill sperm
25.
A 23-year-old woman visits the barangay health station and shares that she often forgets to take her daily oral contraceptive pills. She asks the midwife to recommend a hormonal method that contains estrogen but requires less frequent attention. Which of the following is the best recommendation the midwife should give?
a)
Progestin-only injectable
b)
Combined injectable contraceptive
c)
Copper IUD
d)
Lactational amenorrhea method
26.
A 28-year-old woman, 2 months postpartum and partially breastfeeding, asks the midwife if she can start using combined injectable contraceptives (CICs). Which of the following is the correct advice the midwife should give?
a)
Yes, she can start now
b)
She must stop breastfeeding first
c)
She must wait until 6 months
d)
She must wait for menses to return
27.
A 22-year-old woman who gave birth 10 days ago and is not breastfeeding asks the midwife if she can start using combined injectable contraceptives (CICs). Which of the following is the best advice the midwife should give?
a)
Start CIC immediately
b)
Wait until 6 weeks postpartum
c)
Wait until 3 weeks postpartum
d)
Use POPs until 6 months
28.
A woman using combined injectable contraceptives (CICs) returns to the barangay health station during her second month of use, reporting prolonged light bleeding. She asks the midwife what to do. Which of the following is the best midwifery management?
a)
Discontinue CIC immediately
b)
Prescribe antibiotics
c)
Reassure and continue injections
d)
Change to another brand
29.
During contraceptive counseling, a client asks the midwife, “What is the difference between the combined injectable contraceptive (CIand the progestin-only injectable?” Which of the following is the most accurate response the midwife should give?
a)
CIare given every 3 months
b)
CIare suitable for breastfeeding mothers
c)
CIcontain both estrogen and progestin and are given monthly
d)
CIcause more bleeding problems than DMPA
30.
A 30-year-old woman discontinued combined injectable contraceptives (CICs) 5 months ago because she wants to get pregnant. She returns to the barangay health station feeling anxious because she is still not pregnant. Which of the following is the most appropriate advice the midwife should give?
a)
She is infertile due to CI
b)
Advise hormonal therapy to restart ovulation
c)
Fertility may take up to 12 months to return; reassure her
d)
CIC causes long-term infertility
31.
A woman using combined injectable contraceptives (CICs) returns to the barangay health station 6 days late for her scheduled monthly injection. She reports no unprotected sexual intercourse since her last injection. Which of the following is the best midwifery action?
a)
Give the injection and no backup method is needed
b)
Require pregnancy test first
c)
Delay injection for next cycle
d)
Advise to use condoms for 2 weeks
32.
A client using combined injectable contraceptives (CICs) returns to the barangay health station 8 days late for her scheduled monthly injection. She reports no unprotected sexual intercourse since the scheduled date. Which of the following is the correct midwifery management?
a)
Give CIC and advise backup for 7 days
b)
Give injection with no backup needed
c)
Wait for menses before reinjecting
d)
Perform pregnancy test first
33.
A client using combined injectable contraceptives (CICs) missed her last two monthly injections due to travel. She now returns to the barangay health station and asks to restart CICs. Which of the following is the best midwifery action?
a)
Restart immediately if reasonably certain she’s not pregnant
b)
Require pelvic exam first
c)
Wait for her next period
d)
Give double dose
34.
During contraceptive counseling, a woman asks the midwife where to apply the contraceptive patch. Which of the following is the most appropriate instruction the midwife should give?
a)
On clean, dry skin of the upper arm, back, abdomen, or buttocks.
b)
On the inner thighs.
c)
On the breast area.
d)
On the face or neck.
35.
A woman using the contraceptive patch reports skin redness and itching at the application site. She asks the midwife what to do. Which of the following is the most appropriate recommendation the midwife should give?
a)
Stop using the patch immediately.
b)
Reapply the patch to the same area
c)
Apply the next patch to a different site.
d)
Wash the area and reuse the same patch.
36.
A woman using the contraceptive patch removes it as scheduled but forgets to apply a new one. She has now been without the patch for 3 days and asks the midwife what to do. Which of the following is the most appropriate advice the midwife should give?
a)
Apply a new patch immediately and use backup protection for 7 days.
b)
Apply two patches at once.
c)
Wait until her next cycle to restart.
d)
No action is needed if she had no intercourse.
37.
A 30-year-old woman using the contraceptive patch returns to the barangay health station reporting new-onset migraine with aura. She asks the midwife what to do. Which of the following is the best midwifery action?
a)
Advise her to stop using the patch and see a doctor.
b)
Apply the patch on a different body site.
c)
Continue use; this is a normal side effect.
d)
Reduce the patch-wearing time to 2 weeks.
38.
During contraceptive counseling, a woman expresses concern that using the contraceptive patch might make her infertile. Which of the following is the most appropriate response the midwife should give?
a)
Fertility returns after discontinuation, though it may take a few cycles.
b)
The patch causes early menopause.
c)
The patch permanently affects the ovaries.
d)
Fertility never returns after using the patch.
39.
A 40-year-old woman, currently breastfeeding and with controlled hypertension, asks the midwife if she can use progestin-only pills (POPs). Which of the following is the best response the midwife should give?
a)
She should not use POPs due to her age
b)
She can safely use POPs.
c)
POPs may worsen her hypertension.
d)
She must stop breastfeeding first.
40.
A 32-year-old woman taking progestin-only pills (POPs) missed her pills for two consecutive days. She is unsure if she had sexual intercourse during that period. She asks the midwife what to do. Which of the following is the first action the midwife should take?
a)
Tell her to wait for next menses before restarting.
b)
Give her double pills for two days.
c)
Rule out pregnancy and advise to use a backup method for 48 hours.
d)
Refer immediately for ultrasound.
41.
A 30-year-old woman has been using DMPA (progestin-only injectable) for two years. She reports spotting and delayed periods. A pregnancy test is negative, and she asks the midwife what this means. Which of the following is the most appropriate explanation the midwife should give?
a)
Irregular bleeding is a common side effect of POIs
b)
Discontinue immediately and change method
c)
DMPA causes permanent infertility
d)
Irregular bleeding indicates liver damage
42.
A 45-year-old woman who smokes daily and has mild controlled hypertension visits the barangay health station and asks the midwife for a contraceptive injection. Which of the following is the best option the midwife should recommend?
a)
Provide DMPA with proper counseling
b)
Refuse hormonal methods
c)
Offer combined injectable contraceptive
d)
Recommend emergency contraception
43.
A 26-year-old woman with type 1 diabetes for 25 years and diabetic neuropathy visits the barangay health station and requests Depo-Provera (DMPas her contraceptive method. Which of the following is the best midwifery action?
a)
Do not provide POIs; offer non-hormonal method
b)
Give NET-EN for shorter duration
c)
Administer DMPA and observe
d)
Continue with strict blood sugar control
44.
A 28-year-old woman presents at the barangay health station with unexplained heavy vaginal bleeding and requests to start Depo-Provera (DMPA). Which of the following is the most appropriate midwifery action?
a)
Delay injection until evaluation is completed
b)
Switch to NET-EN
c)
Proceed with DMPA to help reduce bleeding
d)
Give double dose of DMPA
45.
A 35-year-old woman, previously treated for breast cancer and disease-free for 4 years, visits the barangay health station and requests an injectable contraceptive. Which of the following is the most appropriate midwifery action?
a)
DMPA is safe since she is not breastfeeding
b)
Provide NET-EN for short-term use
c)
Do not give POIs; choose a non-hormonal method
d)
Advise to restart DMPA after 1 more year
46.
A 24-year-old woman with HIV infection is currently using antiretroviral therapy (ART). She asks the midwife if she can use Depo-Provera (DMPas her contraceptive method. Which of the following is the most appropriate response the midwife should give?
a)
Contraindicated
b)
Use only NET-EN
c)
Combine with CO
d)
Can safely use DMPA with consistent condom use
47.
A 35-year-old woman with varicose veins visits the barangay health station and asks the midwife to recommend a reliable contraceptive method. Which of the following is the most appropriate midwifery recommendation?
a)
Avoid DMP
b)
Recommend nonhormonal method
c)
CO
d)
DMPA can be used safely
48.
A 25-year-old woman on antiretroviral therapy (ART) for HIV infection visits the barangay health station and asks the midwife about using an injectable contraceptive. Which of the following is the most appropriate midwifery response?
a)
Avoid due to ART interaction
b)
Use COC instead
c)
DMPA is safe and effective
d)
Needs higher dose
49.
A 42-year-old woman with controlled hypertension (BP: 150/95 mmHg) visits the barangay health station and asks the midwife for a contraceptive injection. Which of the following is the most appropriate midwifery recommendation?
a)
Do not provide DMP
b)
DMPA may be used with caution (Category 2)
c)
Switch to CO
d)
Only barrier methods allowed
50.
A 25-year-old woman currently undergoing treatment for tuberculosis with rifampicin visits the barangay health station and requests a Depo-Provera (DMPinjection). Which of the following is the most appropriate midwifery action?
a)
Contraindicated
b)
DMPA is safe and effective (Category 1)
c)
Use COC instead
d)
Postpone until TB treatment is done
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