DSSSB - 29 August 2019 (Shift-2)
Obstetrics & Gynaecology (E5)
Easy

A polyurethane vaginal pouch attached to a rim that partially covers the vulva is known as?

Appeared in: DSSSB - 29 August 2019 (Shift-2)

Explanation

  • The question describes a polyurethane vaginal pouch with a rim that partially covers the vulva.
  • This description perfectly matches the structure and function of a female condom (e.g., FC2 Female Condom).
  • It is a barrier method made of polyurethane or nitrile with two flexible rings.
  • The inner ring is used for insertion and to anchor the device inside the vagina, near the cervix.
  • The larger, open outer ring remains outside the body and covers the external genitalia (vulva), which is a key feature mentioned in the question.

Why Other Options Were Wrong

  • Option B: Copper T is an intrauterine device (IUD), not a vaginal pouch. It is a small, T-shaped device inserted into the uterus for long-term contraception.
  • Option C: Latex is a material, not a specific contraceptive device. While many male condoms are made of latex, 'Latex' is not the name of the device described.
  • Option D: Norplant was a brand of hormonal contraceptive implant placed subdermally (under the skin), typically in the upper arm. It is not a vaginal pouch.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and characteristics of different contraceptive methods as background academic context rather than a clinical decision trigger.
  • Patient education is crucial for the effective use of female condoms. Nurses must teach the correct insertion and removal technique to ensure efficacy and prevent slippage or breakage.
  • Female condoms offer the dual benefit of preventing pregnancy and reducing the transmission of sexually transmitted infections (STIs), including HIV. This is a key advantage over hormonal methods and IUDs, which do not protect against STIs.
  • For patients with latex allergies, the female condom is an excellent alternative barrier method, as it is typically made from polyurethane or nitrile.
How to Approach the Question
  • First, break down the description provided in the question stem into key features: 1) polyurethane material, 2) a pouch, 3) placed in the vagina, and 4) has a rim that covers the vulva.
  • Next, evaluate each option against these key features.
  • Option A, 'Female condom,' is known to be a polyurethane or nitrile pouch inserted into the vagina with an external ring. This matches all the features.
  • Option B, 'Copper T,' is an IUD placed in the uterus, so it's not a vaginal pouch.
  • Option C, 'Latex,' is a material, not a device.
  • Option D, 'Norplant,' is a hormonal implant placed under the skin, not in the vagina.
Concept Tested & Keywords
  • Concept Tested: Identification and characteristics of different contraceptive methods.
  • Stem keywords: polyurethane, vaginal pouch, rim, covers the vulva
  • Lead-in keywords: known as

Question ID

QXOOoSMVAC_ShuOzqRaPEh

Reference Book

E6 Gynecology Williams p. 133-160

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 43-45

E6 Obstetrics Williams p. 83-95

Practise the full DSSSB - 29 August 2019 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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