1.   The premature removal of an embryo or a fetus from the uterus is

            A)   abortifacient.

            B)   abortion.

            C)   amniocentesis.

            D)   amenorrhea.


      2.   The strict definition of abortion is

            A)   artificially induced expulsion of the embryo or fetus from the uterus before it is sufficiently developed to survive.

            B)   artificially induced expulsion of the embryo or fetus from the uterus.

            C)   miscarriage.

            D)   illegal termination of a pregnancy.


      3.   As it is commonly used, the word abortion means

            A)   spontaneous expulsion of the fetus.

            B)   the same thing as miscarriage.

            C)   fetal expulsions that are artificially induced.

            D)   any intervention in a pregnancy.


      4.   Originally, abortion policy in the United States was dictated by

            A)   contemporary medical opinion.

            B)   religious dogma.

            C)   an individual's conscience.

            D)   English common law.


      5.   "Quickening" is

            A)   rapidly induced abortion.

            B)   contractions precipitating miscarriage.

            C)   fetal movement at about 20 weeks of pregnancy.

            D)   equivalent to individuation.


      6.   American public objection to abortion first started in the _______________ century.

            A)   sixteenth

            B)   seventeenth

            C)   nineteenth

            D)   twentieth


      7.   What kind of media message first fueled anti-abortion sentiment in America?

            A)   direct mail

            B)   radio

            C)   television

            D)   newspaper


      8.   By what year were there laws against abortion in practically every state in the U.S.?

            A)   1850                                  B)        1900

            C)   1970                                  D)        1990


      9.   Abortion was made legal by the U.S. Supreme Court in

            A)   1965.                                 B)        1969.

            C)   1973.                                 D)        1980.


    10.   The Supreme Court case that legalized abortion was

            A)   Roe v. Wade.

            B)   Knight v. U.S.

            C)   Hart v. James.

            D)   Webster v. Reproductive Health.


    11.   The Supreme Court's division of pregnancy into three parts or trimesters

            A)   gave a woman less choice about abortion as she advanced toward full term.

            B)   prohibited all abortions in the third trimester.

            C)   permitted abortion only in the first trimester.

            D)   permitted abortions only during the first two trimesters.


    12.   What did Roe v. Wade establish as the key criterion in establishing the point beyond which a woman's right to choose abortion becomes markedly restricted?

            A)   circumstance of impregnation

            B)   age of the mother

            C)   viability of the fetus

            D)   prevailing community attitude


    13.   According to the Supreme Court, a state may NOT bar abortion

            A)   in the third trimester.

            B)   in the case of rape.

            C)   in the case of incest.

            D)   if the woman's health is in jeopardy.


    14.   Recent political activity on the issue of abortion has focused on

            A)   federal funding for abortions.

            B)   the banning of certain types of late-term abortions.

            C)   regulations concerning parental notification.

            D)   the legalization of mifepristone.


    15.   Webster v. Reproductive Health Services was a Missouri court case that

            A)   allowed state regulation of abortion as long as it did not impose an "undue burden."

            B)   banned public funding of abortion.

            C)   outlawed certain types of abortion.

            D)   introduced mandatory waiting periods.


    16.   Current state laws concerning abortion include all of the following EXCEPT

            A)   bans on the use of public funding.

            B)   mandatory prayer sessions for abortion candidates.

            C)   insurance prohibitions.

            D)   requirements for parental consent for minors.


    17.   Currently, how many states provide non-federal public money to assist poor women seeking abortions?

            A)   8                                        B)        11

            C)   14                                      D)        19


    18.   A reversal of Roe v. Wade would

            A)   make third-term abortion illegal.

            B)   identify penalties for illegal abortion.

            C)   permit states to prohibit abortion.

            D)   increase abortion in Midwestern states.


    19.   The belief that any abortion is murder is representative of what groups?

            A)   pro-choice                                     B)        pro-abortion

            C)   pro-life                                           D)        pro-intervention


    20.   Which of the following is a pro-life view?

            A)   Abortion has an overall destructive effect on society.

            B)   Distinction needs to be made between different stages of fetal development.

            C)   Preserving the fetus in the early gestation period may not be the ultimate moral concern.

            D)   Discrimination in health care may result from banning abortion.


    21.   The belief that women must have the freedom to decide whether and when to have children is representative of what view?

            A)   pro-life                                           B)        pro-choice

            C)   pro-abortion                                  D)        pro-intervention


    22.   Which of the following is a pro-choice view?

            A)   Putting the child up for adoption should always be the first choice for women who cannot care for the child.

            B)   Abortion has an overall destructive effect on our society.

            C)   Women who have sex know the potential consequences and need to accept those consequences.

            D)   Women would continue to have abortions even if abortions were made illegal.


    23.   The pro-choice view holds that discrimination in health care will result from banning abortions because

            A)   of the stigma associated with middle-class unwed pregnancies.

            B)   politics influence abortion availability.

            C)   public assistance is not available for the medically indigent.

            D)   wealthy women can more easily find access to legal abortion.


            24.       Which of the following viewpoints is expressed in the essay by Kate Michelman?

            A)   Unwanted children are not a reason to support the pro-choice position.

            B)   The pro-life position is a majority viewpoint.

            C)   Pro-choice and pro-abortion are not the same.

            D)   The pro-life and pro-choice positions are nearly perfectly balanced.

    25.   The attitude of most adult Americans toward abortion is

            A)   total opposition.

            B)   that it should be allowed only in cases of rape.

            C)   desire to see Roe v. Wade overturned.

            D)   approval of legal abortion.


    26.   Which of the following reasons receives the highest approval as a reason for having an abortion?

            A)   maternal health

            B)   health of fetus

            C)   the woman is unmarried

            D)   incest


    27.   Which of the following reasons received the lowest approval as a reason for having an abortion?

            A)   maternal health

            B)   health of fetus

            C)   the woman is unmarried

            D)   rape


    28.   Most induced abortions occur during what week of pregnancy?

            A)   1st to 8th

            B)   9th to 12th

            C)   13th to 16th

            D)   16th to 20th


    29.   Since 1973, the average number of weeks at which viability is achieved has been reduced to _______________ weeks.

            A)   18

            B)   24

            C)   28

            D)   30


    30.   Individuation or twinning occurs

            A)   at conception.

            B)   2 weeks after conception.

            C)   in the second month of pregnancy.

            D)   in the second trimester.


    31.   The later in the pregnancy the abortion occurs, the more likely it is that the woman is

            A)   married.

            B)   a teenager.

            C)   wealthy.

            D)   single.



    32.   The personal considerations for a woman considering abortion should include

            A)   whether the decision is compatible with her moral and religious beliefs.

            B)   what her partner's feelings about abortion are.

            C)   whether she has a supportive network to assist her through a difficult time.

            D)   all of the above


    33.   Over the last forty years the percentage of unmarried pregnant women choosing adoption has

            A)   risen 5%.

            B)   dropped 7%.

            C)   risen 10%.

            D)   dropped 4%.


    34.   The decision to go through an unwanted pregnancy and give the baby up for adoption takes all of the following EXCEPT

            A)   maturity.

            B)   love.

            C)   low self-esteem.

            D)   courage.


    35.   In this type of adoption the birth parents and the adoptive parents never know each other.

            A)   anonymous

            B)   open

            C)   terminal

            D)   confidential


    36.   In this type of adoption the birth parents and the adoptive parents know something about one another.

            A)   anonymous

            B)   open

            C)   terminal

            D)   confidential


    37.   Today, adoption agencies have reported that _________ percent of birth fathers have some involvement in their child's placement.

            A)   10

            B)   25

            C)   40

            D)   55


    38.   Overall, the number of laws restricting abortion in the United States has __________ since 1995.

            A)   decreased slightly

            B)   increased slightly

            C)   doubled

            D)   tripled



    39.   An agent or substance that produces abortions is a/an

            A)   abortifacient.

            B)   postcoital pill.

            C)   teratogen.

            D)   IUD.


    40.   Which is the most common abortion method?

            A)   miscarriage

            B)   medical

            C)   surgical

            D)   IUD


    41.   What percentage of the world's people live in countries where abortion is outlawed?

            A)   15%

            B)   25%

            C)   35%

            D)   45%


    42.   At current rates, about ______ percent of American women will have had an abortion by age 45.

            A)   13

            B)   33

            C)   43

            D)   63


    43.   Which one of the following statements about abortion rates is generally true?

            A)   Abortion rates are consistently higher in countries that recognize legal abortions.

            B)   Abortion rates are lowest in countries that ban or restrict the procedure.

            C)   Abortion rates are higher in countries where contraceptives are widely available.

            D)   Abortion rates are lower in countries where contraceptives are widely available.


    44.   Suction curettage is the same as

            A)   medical abortion.

            B)   saline instillation.

            C)   dilation and evacuation.

            D)   vacuum aspiration.


    45.   Vacuum aspiration is the most common method of abortion in

            A)   the first trimester.

            B)   the second trimester.

            C)   the third trimester.

            D)   all trimesters.



    46.   A newer abortion option available to women in the earliest stages of pregnancy is

            A)   suction curettage.

            B)   dilation and evacuation.

            C)   miscarriage.

            D)   manual vacuum aspiration.


    47.   The most common method of abortion during the 13th to 24th weeks of pregnancy is

            A)   RU-486.

            B)   vacuum aspiration.

            C)   dilation and evacuation.

            D)   prostaglandins.


    48.   Which of the following statements about dilation and evacuation is true?

            A)   It requires cervical dilation overnight before the procedure is completed.

            B)   It is used primarily in the first 12 weeks of pregnancy.

            C)   It typically does not involve anesthesia.

            D)   The more advanced the pregnancy, the easier this procedure.


    49.   A method of late-term abortion that makes use of prostaglandins to cause uterine contractions is called

            A)   labor induction.                              B)        D & E.

            C)   suction curettage.                           D)        MVA.


    50.   Medical abortions are generally used

            A)   at 10 weeks.

            B)   within 49 days of the last menstruation.

            C)   three months after suspected conception.

            D)   at any time.


    51.   All of the following are true about mifepristone EXCEPT that it

            A)   causes the uterine lining to shed.

            B)   is the same as emergency contraception.

            C)   is an abortion pill.

            D)   blocks uterine absorption of progesterone.


    52.   How many days after the last menstrual period may mifepristone be taken and still be effective?

            A)   7 days                                            B)        14 days

            C)   28 days                                          D)        49 days



    53.   Which of the following is true about mifepristone?

            A)   It is a faster procedure than surgical abortion.

            B)   It is available as a once-monthly contraceptive.

            C)   Its success rate is highest in early pregnancy.

            D)   It is not currently available in the United States.


    54.   Which of the following is true about mifepristone?

            A)   It is more costly than surgical abortion.

            B)   It has no known side effects.

            C)   It involves a surgical procedure.

            D)   Its use in the United States has been limited.


    55.   Which of the following is the LEAST likely side effect of the mifepristone two-drug regimen?

            A)   nausea

            B)   cardiovascular problems

            C)   vomiting

            D)   diarrhea


    56.   Which of the following does NOT reduce the complications of abortion?

            A)   early timing of abortion

            B)   use of suction method

            C)   general anesthesia

            D)   a well-trained clinician


    57.   The most common physical complication of abortion is

            A)   cervical trauma.                              B)        cervical laceration.

            C)   uterine perforation.                         D)        infection


    58.   Which of the following is a postabortion danger sign?

            A)   abdominal tenderness                     B)        nausea

            C)   indigestion                          D)        headaches



    59.   Which of the following is NOT a postabortion danger sign?

            A)   fever over 101 degrees

            B)   vaginal bleeding

            C)   normal menstruation not resumed after 6 weeks

            D)   fainting


    60.   Surgical abortion techniques can fail to end a pregnancy if

            A)   there are multiple embryos.

            B)   the woman is obese.

            C)   there is an ectopic pregnancy.

            D)   the woman is too thin.


    61.   Which of the following statements is the most accurate characterization of postabortion fertility?

            A)   Fertility decreases after a single abortion.

            B)   Fertility decreases after multiple abortions.

            C)   Neither single nor multiple early abortions affect fertility.

            D)   Since 1973, abortion-induced sterility has increased.



    62.   Overall, mortality from abortion

            A)   is low.

            B)   is high.

            C)   has increased since legalization in 1973.

            D)   has not changed since legalization in 1973.


    63.   Which of the following is the most accurate characterization of women's psychological reactions to facing abortion?

            A)   Psychological reactions follow a predictable pattern.

            B)   Most women approach abortion feeling confident.

            C)   Psychological reactions depend on a woman's psychological makeup.

            D)   Most women report they feel they were coerced into the abortion.


    64.   If a woman facing an unwanted pregnancy has strong feelings of ambivalence about having an abortion, her best action would be to

            A)   avoid hasty decisions or actions.

            B)   seek support from her partner.

            C)   find a skilled clinician.

            D)   reach a decision quickly to minimize the stress associated with uncertainty.


    65.   Over half the states have passed laws requiring that consent to an abortion performed on a minor be given by the

            A)   pregnant woman.

            B)   woman's doctor.

            C)   woman's spouse.

            D)   woman's parents.