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Sterilization

Among women using contraception, what percentage use sterilization?

a. 10%

b. 15%

c. 20%

d. 33%

A 28-year-old G4P3 presents for prenatal care at 8 weeks’ gestation and reports she does not want any more children. She asks for a postpartum bilateral tubal ligation. All except which of the following are accurate and should be included in your counseling?

a. It is permanent

b. There are failure rates

c. It can be reversed without consequence

d. An explanation of alternative options for contraception

Which of the following aspects of postpartum anatomy are advantageous for a puerperal sterilization?

a. A noninvoluted uterus

b. Laxity of the abdominal wall

c. Fallopian tubes directly beneath the abdominal wall

d. All of the above

All except which of the following aspects of the intrapartum and postpartum periods should be accounted for when considering a puerperal tubal sterilization?

a. Status of the newborn

b. Postpartum hemorrhage

c. Patient’s ability to ambulate

d. Utilization of neuraxial anesthesia placed for labor

Which of the following methods of puerperal sterilization carries the greatest morbidity?

a. Hysterectomy

b. Salpingectomy

c. Uchida method

d. Parkland method

A 36-year-old G3P2 desires permanent sterilization after delivery. She has read recently that the entire fallopian tube should be removed when performing a tubal ligation. What is the rationale for this recommendation?

a. Decrease cancer risks

b. Decrease the failure rate

c. Decrease bleeding complications

d. Decrease the risk for an ectopic pregnancy

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