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 3 of 3

  • A. Continue the implant without any additional method
  • B. Use a nonhormonal method or another suitable method during treatment
  • C. Double the implant dose to overcome the interaction
  • D. Remove the implant because it causes tuberculosis treatment failure

Explanation: Rifampicin induces liver enzymes and can reduce the effectiveness of some hormonal implants.

Correct answer: Use a nonhormonal method or another suitable method during treatment
Fairly easy
  • A. It routinely causes an early medical abortion
  • B. It prevents or delays ovulation before pregnancy is established
  • C. It destroys an implanted embryo in the uterus
  • D. It is used to treat infertility after conception

Explanation: Emergency contraceptive pills mainly prevent or delay ovulation and do not terminate an established pregnancy.

Correct answer: It prevents or delays ovulation before pregnancy is established
  • A. It releases estrogen to stop all menstrual bleeding
  • B. It thickens cervical mucus and changes the endometrium
  • C. It blocks both fallopian tubes permanently
  • D. It destroys sperm throughout the entire bloodstream

Explanation: The levonorgestrel intrauterine system releases a progestin that thickens cervical mucus and makes the endometrium unsuitable for…

Correct answer: It thickens cervical mucus and changes the endometrium
Hard
  • A. The pills remain fully effective during any illness
  • B. She should use additional contraception while absorption may be affected
  • C. She should take two pills every hour until symptoms stop
  • D. She should stop all contraception permanently

Explanation: Vomiting or severe diarrhoea can prevent absorption of oral contraceptive hormones and reduce protection.

Correct answer: She should use additional contraception while absorption may be affected
  • A. It protects against HIV and other sexually transmitted infections
  • B. It is intended as a permanent method of contraception
  • C. It causes immediate menopause after the procedure
  • D. It can always be reversed successfully when desired

Explanation: Tubal sterilisation is intended to be permanent, so the decision requires voluntary informed consent and discussion of alternatives.

Correct answer: It is intended as a permanent method of contraception
  • A. Start it today because breastfeeding prevents blood clots
  • B. Delay it and discuss a progestin-only or nonhormonal method
  • C. Use it only on days when intercourse is expected
  • D. Take two pills daily to improve milk production

Explanation: Combined hormonal contraception is generally avoided early after birth because postpartum venous thromboembolism risk is increased, and…

Correct answer: Delay it and discuss a progestin-only or nonhormonal method
  • A. Menstrual bleeding may become heavier and cramps may increase
  • B. Menstruation always stops permanently after insertion
  • C. The device usually causes severe fever every month
  • D. Bleeding becomes lighter because copper suppresses ovulation

Explanation: A copper intrauterine device may cause heavier or longer menstrual bleeding and increased cramping, especially during the first months.

Correct answer: Menstrual bleeding may become heavier and cramps may increase
Fairly easy
  • A. She must wait until three normal periods have occurred
  • B. Fertility usually returns quickly after removal
  • C. Pregnancy is impossible for one year after removal
  • D. She needs emergency contraception before attempting pregnancy

Explanation: The contraceptive effect of an implant ends after removal, and fertility usually returns quickly.

Correct answer: Fertility usually returns quickly after removal
Very hard
  • A. Combined oral contraceptive pills
  • B. Depot medroxyprogesterone acetate
  • C. A progestin contraceptive implant
  • D. A copper intrauterine device

Explanation: The copper intrauterine device is nonhormonal and provides highly effective, reversible contraception.

Correct answer: A copper intrauterine device
  • A. Use an oil-based lubricant with the condom
  • B. Use a water-based or silicone-based lubricant
  • C. Apply two condoms together for extra protection
  • D. Store condoms in a wallet until they are needed

Explanation: Water-based or silicone-based lubricants reduce friction without weakening latex.

Correct answer: Use a water-based or silicone-based lubricant