Progestin-Only Injectable Contraceptives: Post-test
Progestin-Only Injectables Post-Test and
Applied Learning Case Studies
Name: ___________________________________________ Date:_______________________
Instructions: Circle the letter(s) for all that apply. (Some questions may have more than one
correct answer.) Follow specific directions for each section. There is a total of 50 points.
Scoring: Score each correct answer by 1. Multiply total correct answers by 2 to get total
percentage. It is recommended that a passing score is 80% and above.
Multiple Choice
1. Which of the following contraceptive methods are less effective than DMPA and NETEN?
A.
B.
C.
D.
E.
Combined Oral contraceptives
IUD
Spermicides
Condoms
Standard Days Method
2. What are the primary ways by which progestin only injectable contraceptives prevent
pregnancy? You may choose more than one answer.
A.
B.
C.
D.
Preventing a fertilized egg from embedding in the uterine lining
Thickening of cervical mucus to block sperm
Preventing the release of eggs from the ovaries (ovulation)
Damaging sperm
3. Some of the disadvantages of injectable contraceptives include:
A. Frequent bleeding abnormalities
B. It can cause permanent infertility
C. It often causes nausea
D. They do not protect against STIs/HIV
4. Injectables may be appropriate for women who:
A. Smoke cigarettes regardless of a woman’s age or the number of cigarettes.
B. Have diabetes
C. Have abnormal vaginal bleeding
D. Are not married
E. Have just had an abortion or miscarriage
5. Women with the following should not use injectables:
A. Suspected pregnancy
B. Are taking ARVs
C. Severe hypertension
D. Complicated diabetes
E. Are over 40 years old
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Progestin-Only Injectable Contraceptives: Post-test
6. If 1,000 women used DMPA or NET-EN for one year, typically how many would
become pregnant?
A. 100
B. 60
C. 20
D. 10
7. DMPA helps protect against:
A. Risks of pregnancy
B. Cancer of the lining of the uterus (endometrial cancer)
C. Hypertension
D. Uterine fibroids
8. When providing a next injection of DMPA, you may give the next injection (circle all
that apply)
A. 13 weeks after the previous injection
B. 11 weeks after the previous injection
C. 18 weeks after the previous injection
D. 8 weeks after the previous injection
E. 17 weeks after the previous injection
9. If a woman comes for her first DMPA injection 4 months after giving birth, when can
you start giving her an injectable?
A. Only after she has her first menstrual period.
B. If her monthly bleeding has not returned, she can start injectables and will not need a
back up method.
C. If her menstrual cycle has returned, she can start injectables within the first 7 days of
her menstrual cycle without using a back up method.
D. Only after she has completed breastfeeding>
Short-Answer Question
Fill in the correct answers to each question
10. Where are the 3 injection sites for DMPA and NET EN
A.
B.
C.
11. List 3 ways to handle needles safely.
A.
B.
C.
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Progestin-Only Injectable Contraceptives: Post-test
True or False
Circle true or false for each statement.
1. Injectables provide protection against STIs.
True
False
2. DMPA is more effective than oral contraceptives.
True
False
3. Injectables can be used by breastfeeding women at six weeks
postpartum.
True
False
4. Injectables allow for immediate return to fertility.
True
False
5. Women must receive their DMPA injections every 13 weeks
True
False
6. Injectables require minor surgery to initiate.
True
False
7. Women under the age of 20 should not use injectables.
True
False
8. Women can begin using injectables without a pelvic
examination.
True
False
9. Women who are on antiretroviral (ARV) therapy can safely use
progestin-only injectable contraceptives.
True
False
10. NET-EN users are more likely to have no monthly bleeding after
True
one year of use than DMPA users.
False
11. NET-EN helps protect against Iron-deficiency anemia.
True
False
12. When giving an injection of DMPA or NET EN, the needle must
True
enter the skin straight, not at an angle.
False
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Progestin-Only Injectable Contraceptives: Post-test
Fill in the Blank
Complete the following sentences with one or two of these words or phrases.
Migraines
Blood clots
Infrequent
Irregular
Endometriosis
STIs
Acne
Infertility
Amenorrhea
Nausea
Prolonged
No monthly
Anemia
Hypertension
Fibrosis
Aura
An injectables user who develops ___________should discontinue using the method.
Changes in bleeding patterns could include ________bleeding and___________.
One possible health benefit of DMPA is reducing symptoms of _____________.
The most common side effects of DMPA after one year of use are __________bleeding,
___________bleeding
or
_________bleeding.
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Progestin-Only Injectable Contraceptives: Applied Learning Case Studies
Case 1
Read the case and answer the questions.
Rajani is a 17-year-old unmarried adolescent who is engaged to be married soon. She and her
fiancé have started to have sexual relations, and they have been using condoms consistently.
She comes to the health center expressing an interest in using injectables because she wants a
reliable method that does not require her to do something every day. Rajani does not want to
become pregnant for a few years so she can finish her schooling and training. She feels
healthy and does not have any serious health problems.
a) Is Rajani medically eligible to initiate injectables? Why or why not?
b) What are the three key counseling messages you should share with Rajani?
(For facilitator’s use only)
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Progestin-Only Injectable Contraceptives: Applied Learning Case Studies
Case 2
Read the case and answer the questions.
Agnes is a 30-year-old mother of two children. Her youngest child is 10 months old. She has
been using injectables for about six months. She has returned to the clinic and reports having
very bad migraine headaches and debilitating bouts of dizziness and vision problems.
a) Is Agnes eligible to continue using injectables? Why or why not?
b) Describe your course of action.
(For facilitator’s use only)
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