NARM Preconception Care, Reproductive Health and Family Planning

Question 1

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

Accepted Answer

Day 14

Answer

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.

Question 2

Which cervical mucus is typical around ovulation?

Accepted Answer

Clear, slippery, and stretchy

Answer

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

Question 3

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

Accepted Answer

Baby under 6 months, exclusively breastfeeding, and mother amenorrheic

Answer

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.

Question 4

Which emergency contraception option is the most effective?

Accepted Answer

Copper IUD inserted within 5 days

Answer

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

Question 5

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

Accepted Answer

1 month

Answer

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.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Preconception Care, Reproductive Health and Family Planning