North American Registry of Midwives (NARM) Practice Exam

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What is one option for emergency contraception postcoital?

500mg of aspirin
The Yuzpe Regimen
Daily vitamin supplements
Intrauterine device removal

The correct answer is: The Yuzpe Regimen

The Yuzpe Regimen is a recognized method for emergency contraception used after unprotected intercourse. It involves taking a combination of specific doses of oral contraceptive pills containing both estrogen and progestin within a certain timeframe after the sexual activity. This approach works primarily by preventing ovulation, thereby reducing the chance of fertilization and subsequent pregnancy. This method is based on the understanding that timely administration of hormones can disrupt the normal hormonal signals that lead to ovulation. It is critical that this regimen is taken within a 72-hour window to be most effective. In contrast, options like 500mg of aspirin, daily vitamin supplements, and intrauterine device removal do not serve the purpose of emergency contraception. Aspirin is a pain reliever and does not have any contraceptive properties. Daily vitamin supplements are unrelated to fertility and pregnancy prevention. While the removal of an intrauterine device (IUD) can be important for managing an existing pregnancy if the IUD was placed prior, it is not an option for postcoital emergency contraception in the way the Yuzpe Regimen is utilized.