Free Family Planning MCQs with Answers

50 Family Planning MCQs from Midwifery and Obstetric Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.

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50 questions · page 1 of 3

  • A. It remains reliable until menstruation returns or the infant reaches 6 months
  • B. It remains reliable until breastfeeding becomes less frequent after 12 months
  • C. It prevents pregnancy even when regular formula feeds are given
  • D. It requires the mother to record her basal temperature every morning

Explanation: LAM is effective only when all three conditions are present: amenorrhoea, exclusive or nearly exclusive breastfeeding, and an infant…

Correct answer: It remains reliable until menstruation returns or the infant reaches 6 months
  • A. Copper intrauterine device
  • B. Combined oral contraceptive pill
  • C. Male external condom
  • D. Depot medroxyprogesterone acetate

Explanation: External condoms provide a physical barrier that reduces transmission of HIV and many sexually transmitted infections.

Correct answer: Male external condom
  • A. Advise her to continue the pills and take extra iron
  • B. Stop the combined pill and refer her for another method
  • C. Tell her to double the pill dose during each headache
  • D. Reassure her that this is an expected harmless effect

Explanation: Visual symptoms followed by headache suggest migraine with aura, in which combined estrogen-containing contraception is generally…

Correct answer: Stop the combined pill and refer her for another method
  • A. Irregular bleeding may occur, and return of fertility can be delayed
  • B. It protects against HIV and other sexually transmitted infections
  • C. It must be taken every day at the same time to work
  • D. It usually causes immediate permanent infertility after one injection

Explanation: Irregular bleeding is common with injectable progestin contraception, and the return to fertility may be delayed after stopping it.

Correct answer: Irregular bleeding may occur, and return of fertility can be delayed
Moderate
  • A. It releases progestin that mainly prevents ovulation and thickens cervical mucus
  • B. It releases copper that destroys sperm and changes the uterine lining
  • C. It blocks the fallopian tubes by causing permanent scarring
  • D. It prevents implantation by removing the monthly menstrual lining

Explanation: Hormonal implants continuously release a progestin that suppresses ovulation and thickens cervical mucus, which limits sperm passage.

Correct answer: It releases progestin that mainly prevents ovulation and thickens cervical mucus
Very hard
  • A. Copper intrauterine device
  • B. Depot medroxyprogesterone acetate
  • C. Routine combined oral pills for one month
  • D. Tubal sterilisation at the next menstrual period

Explanation: A copper intrauterine device can be inserted within 5 days of unprotected intercourse and is the most effective emergency contraceptive…

Correct answer: Copper intrauterine device
  • A. Progestin-only implant
  • B. Combined estrogen-progestin pill
  • C. Combined contraceptive vaginal ring
  • D. Combined estrogen-progestin patch

Explanation: A progestin-only implant can be used postpartum and is compatible with breastfeeding.

Correct answer: Progestin-only implant
Moderate
  • A. Mild cramps during the first day after insertion
  • B. Light spotting during the first few months
  • C. Fever with lower abdominal tenderness and foul discharge
  • D. A menstrual period that is slightly heavier than usual

Explanation: Fever, pelvic pain and foul discharge suggest pelvic infection and require prompt assessment and treatment.

Correct answer: Fever with lower abdominal tenderness and foul discharge
  • A. It protects against sexually transmitted infections for life
  • B. It is intended to be permanent and should be chosen voluntarily
  • C. It can be reversed easily whenever pregnancy is desired
  • D. It prevents pregnancy by stopping menstrual bleeding permanently

Explanation: Tubal sterilisation is intended to be permanent, so informed and voluntary consent is essential before the procedure.

Correct answer: It is intended to be permanent and should be chosen voluntarily
  • A. Dry vulva with no change in cervical secretions
  • B. Thick, cloudy mucus that feels sticky
  • C. Clear, slippery mucus that stretches between the fingers
  • D. Mucus that appears only after menstruation has ended

Explanation: Near ovulation, cervical mucus becomes clear, slippery and stretchy because of rising estrogen.

Correct answer: Clear, slippery mucus that stretches between the fingers
Hard
  • A. Continue the pill and recheck blood pressure yearly
  • B. Stop the combined pill and discuss another method
  • C. Double the pill dose to prevent pregnancy
  • D. Change to a copper intrauterine device immediately

Explanation: Severe hypertension is a contraindication to estrogen-containing combined pills because they may increase cardiovascular and stroke risk.

Correct answer: Stop the combined pill and discuss another method
  • A. Take the missed pill as soon as she remembers
  • B. Stop the packet and wait for the next cycle
  • C. Take emergency contraception in every such case
  • D. Avoid all hormonal contraception for one month

Explanation: After one missed active combined pill, it should be taken as soon as remembered and the remaining pills continued at the usual time.

Correct answer: Take the missed pill as soon as she remembers
Moderate
  • A. Copper intrauterine device
  • B. Levonorgestrel intrauterine system
  • C. Calendar method
  • D. Male sterilisation

Explanation: The levonorgestrel intrauterine system releases progestogen locally and commonly reduces menstrual blood loss and cramps.

Correct answer: Levonorgestrel intrauterine system
Hard
  • A. Mild cramps during the first few days
  • B. Slight increase in menstrual flow
  • C. Inability to feel the device strings
  • D. Mild spotting after intercourse once

Explanation: Inability to feel the strings can indicate expulsion, displacement, or rarely perforation, so the woman should use another method and…

Correct answer: Inability to feel the device strings
  • A. Protection begins immediately after the procedure
  • B. A semen test confirms when contraception may stop
  • C. The procedure protects both partners from HIV
  • D. The operation always causes permanent loss of sexual desire

Explanation: Sperm may remain in the reproductive tract after vasectomy, so another contraceptive method is needed until semen analysis confirms…

Correct answer: A semen test confirms when contraception may stop
Very hard
  • A. Insertion of a copper intrauterine device
  • B. Starting a combined pill packet
  • C. Taking a routine progestin-only pill
  • D. Receiving a depot contraceptive injection

Explanation: A copper intrauterine device can be used as emergency contraception within five days of unprotected intercourse and is highly effective.

Correct answer: Insertion of a copper intrauterine device
  • A. No further action is needed
  • B. Repeat the emergency contraceptive dose
  • C. Wait for the next menstrual period
  • D. Begin antibiotics for stomach irritation

Explanation: Vomiting soon after oral emergency contraception may prevent adequate absorption, so the dose should be repeated according to the product…

Correct answer: Repeat the emergency contraceptive dose
  • A. Ovulation induction prevents conception for one year
  • B. Infertility treatment is intended to help achieve pregnancy
  • C. Fertility treatment permanently blocks the fallopian tubes
  • D. Treatment for infertility prevents sexually transmitted infections

Explanation: Infertility treatment, such as ovulation induction, is used to help a person conceive and is not contraception.

Correct answer: Infertility treatment is intended to help achieve pregnancy
Hard
  • A. Advise her to massage the area daily
  • B. Assess promptly for a local or systemic infection
  • C. Tell her this is expected for several months
  • D. Remove the implant at home using clean scissors

Explanation: Fever with spreading redness, warmth and pus suggests infection and requires prompt clinical assessment and treatment.

Correct answer: Assess promptly for a local or systemic infection
  • A. Avoid unprotected intercourse during the fertile days
  • B. Have unprotected intercourse only during mid-cycle
  • C. Use temperature readings only after menstruation starts
  • D. Assume pregnancy cannot occur during irregular cycles

Explanation: The couple should avoid unprotected intercourse during the predicted fertile window or use another method then.

Correct answer: Avoid unprotected intercourse during the fertile days

Family Planning MCQs: common questions

Are these Family Planning MCQs free?

Yes. All Family Planning MCQs from Midwifery and Obstetric Nursing are free on TestUstad, with unlimited attempts and no account needed. Nothing on this page is a sample or a trial.

How many Family Planning MCQs are on this page?

There are 50 Family Planning MCQs in the Midwifery and Obstetric Nursing bank, shown ten to a page with the correct answer and an explanation on each.

Does every Family Planning MCQ have an explanation?

Yes. Each Family Planning question shows the correct option and a written explanation of why it is correct, so a wrong answer teaches you something rather than just being marked wrong.

Can I take a timed Family Planning test?

Yes. The practice button on this page starts a free Family Planning test drawn from the Midwifery and Obstetric Nursing bank. It marks each answer instantly, gives you a score at the end, and can be retaken as many times as you like.