North American Registry of Midwives (NARM) Practice Exam

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What is the reason for having a condom in place before contact between the penis and female genitalia?

To prevent unwanted pregnancy
To avoid contact with pre-ejaculatory fluid
To enhance pleasure during intercourse
To comply with legal requirements

The correct answer is: To avoid contact with pre-ejaculatory fluid

Having a condom in place before contact between the penis and female genitalia is crucial primarily to avoid contact with pre-ejaculatory fluid. Pre-ejaculatory fluid, or pre-cum, can contain sperm, and even though it is generally present in smaller quantities compared to ejaculate, it has the potential to lead to unintended pregnancy. Condoms serve as a barrier that effectively prevents this fluid from entering the vaginal canal, thus reducing the risk of pregnancy. Additionally, using a condom has benefits in terms of sexually transmitted infection (STI) prevention, as it acts as a barrier against various pathogens. While other reasons such as preventing unwanted pregnancy and enhancing pleasure are important, the immediate and protective role of the condom in avoiding contact with pre-ejaculatory fluid stands out as a critical reason for its use. Legal compliance can also be relevant in certain contexts but is not a direct physiological or preventative reason for condom use.