NDSU Student Health Service
Choices Program Post-Test & Evaluation Bring this completed test to your health care provider at the NDSU Student Health Service to receive your first month of contraception free.
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Name Date
1. To which of the following areas of the body can a person apply a birth control patch? (check all that apply) A. Abdomen B. Buttocks C. Breast D. Upper arm
2. Each birth control patch is worn for ___________ week(s). 2 3 1 4
3. The birth control patch is _________ effective. 75% 85% 90% 99%
4. Which of the following are possible side effects of the birth control patch? (check all that apply) A. Nausea and vomiting B. Headache C. Menstrual cramps
5. Birth control pills should be taken at the same time every day. True False
6. Most birth control pills contain which two hormones? A. Estrogen and progestin B. Progestin and testosterone C. Estrogen and pasterone
7. Abstinence is the only 100% way of not becoming pregnant of acquiring and STI. True False
8. Contraceptive injections must be administered by a health care provider every _______ months. 3 4 6 12
9. Once the vaginal ring is inserted into the vagina, it releases a continuous low dose of hormones into the body. True False
10. When used with spermicide, the diaphragm is _________ effective. 94% 99% 100%
11. Of all the methods of birth control, latex condoms offer the best protection against STIs. True False
12. Smoking does not increase side effects of birth control pills. True False
13. If you forget to take your birth control pill once, it is ok to take your pill as soon as you remember. True False
14. If you miss two birth control pills in a row, take two tablets as soon as you remember and take two tablets the next day. Then return to your regular schedule but use a backup method for seven days after two missed pills. True False
15. Latex condoms are a good "backup" to use when needed. True False
16. A woman can get pregnant within 24 hours of when she stops taking her birth control pills. True False
17. If a woman has sex without any type of birth control or she thinks her method has failed, she may want to use emergency contraception. This needs to be started within _________ of sex and should not be a regular form of birth control. A. 2 hours B. 8 hours C. 72 hours D. 96 hours
18. Douching after sex is a good way to prevent a woman from getting pregnant. True False
19. How often should a woman between the ages of 18 and 39 have a Pap test? A. Every year B. Every two years C. Every three years
20. A woman should wait two weeks after the start of her menstrual period to have a Pap test. True False
Evaluation
Please rate the online Choices Program by answering the following five questions.
1. Did this program meet your expectations?
Agree Disagree Unsure
2. The program was easy to follow.
3. I learned something new while going through the program.
4. What could we do to improve the Choices Program?
5. What did you like best about the Choices Program?
Thank You! Please print this test and take it to your health care provider at the NDSU Student Health Service to receive your first month of contraception free.