Basic Training

Educational Goal Statement

The goal is to provide evidence-based hormonal contraception services under statewide protocol.

Learning Objectives

As a result of this course, the participant will be able to:

  • Screen patients for medical eligibility for contraceptive use.
  • Counsel patients on their contraceptive method options considering health history, prior contraception experiences, and personal preferences.
  • Independently furnish self-administered hormonal contraception to women of all ages pursuant to the California Board of Pharmacy protocol.
  • Educate patients on their chosen method of contraception.
  • Refer patients as appropriate.

Handouts

Self-Assessment Questions

  1. Before a new contraceptive method is initiated, which one of the following would allow you to be reasonably certain the patient is not pregnant if she has no signs or symptoms of pregnancy?
    1. Urine pregnancy test.
    2. She started her period 4 days ago.
    3. She delivered a baby 6 months ago.
    4. She had an abortion 2 months ago.
  1. Before a new contraceptive method is initiated, which of the following screenings should be performed?
    1. Body fat measurement.
    2. Blood pressure measurement.
    3. Breast examination.
    4. Pelvic examination.
  1. If the patient declines a blood pressure measurement, which of the following contraceptive methods would be safe to furnish?
    1. Depot medroxyprogesterone acetate.
    2. Combined oral contraceptive.
    3. Combined transdermal patch.
    4. Combined hormonal ring.
  1. Using the tiered approach, which one of the following contraceptive methods would be best to present first to patients
    1. Diaphragm.
    2. Oral contraceptive pills.
    3. Intrauterine device.
    4. Injectable progestin.
  1. Your patient would like to have an intrauterine device inserted after she delivers in the hospital. What would be the only condition that would preclude her providers from inserting the IUD after delivery?
    1. Epidural.
    2. Postpartum sepsis.
    3. Breastfeeding.
    4. Cesarean-section.
  1. The implant (Nexplanon) can be used as highly-effective form of contraception for:
    1. 1 year.
    2. 3 years.
    3. 5 years.
    4. 10 years.
  1. A patient returns to the pharmacy several months after being initiated on a combined oral contraceptive pill. She is complaining of menstrual irregularities.  You determine she has not been taking it consistently.  You take all of the following actions, except:
    1. Counsel her on correct and consistent use.
    2. Counsel her on other methods.
    3. Change her to a pill formulation with a higher dose of ethinyl estradiol.
    4. Counsel her that the menstrual irregularities will improve after a few months.

 

Answers: 1. B, 2. B, 3. A, 4. C, 5. B, 6. B, 7. C