Preconception Care, Reproductive Health and Family Planning Flashcards

When does ovulation typically occur in a 28-day cycle?

Answer: Day 14

Ovulation usually occurs about 14 days before the next menses, which is day 14 in a 28-day cycle. The luteal phase is relatively constant, while the follicular phase varies.

Which cervical mucus is typical around ovulation?

Answer: Clear, slippery, and stretchy

Estrogen causes fertile mucus that resembles raw egg white (spinnbarkeit). It is used as a sign in fertility awareness methods.

Which of these is a criterion for the Lactational Amenorrhea Method (LAM)?

Answer: Baby under 6 months, exclusively breastfeeding, and mother amenorrheic

LAM is about 98% effective if the baby is under 6 months, fully or nearly fully breastfed, and the mother has not had a return of menses.

Which emergency contraception option is the most effective?

Answer: Copper IUD inserted within 5 days

A copper IUD placed within 5 days of unprotected intercourse is the most effective emergency contraception, and it also provides ongoing contraception.

After a woman receives the live MMR vaccine, how long should she avoid conception?

Answer: 1 month

Live-virus vaccines are not given during pregnancy. Pregnancy should be avoided for 1 month after MMR vaccination, so rubella immunity is best checked and addressed preconceptionally.

Which preconception recommendation is most important for reducing neural tube defects?

Answer: Starting folic acid at least 1 month before conception

Folic acid must be present at neural tube closure, which happens in the first weeks, often before pregnancy is recognized. Supplementation therefore needs to start before conception.