All are precipitating factors of cervical cancer except - - RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Obstetrics & Gynaecology

Easy

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Explanation

Nulliparity, the state of having never completed a pregnancy, is not a risk factor for cervical cancer.
Conversely, multiparity (having given birth multiple times) is associated with an increased risk for cervical cancer.
The risk is thought to be related to hormonal changes during pregnancy, potential trauma to the cervix during childbirth, or increased exposure to HPV.
Nulliparity is a recognized risk factor for other gynecological cancers, specifically endometrial and ovarian cancer, due to increased lifetime exposure to estrogen and more ovulatory cycles.

Option A: Low socio-economic condition is a significant risk factor for cervical cancer.
Option B: Having multiple sexual partners is one of the most critical risk factors for cervical cancer.
Option D: Poor hygiene is considered a contributing risk factor for cervical cancer.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Risk factors associated with the development of cervical cancer as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in patient education regarding cervical cancer prevention. This includes explaining modifiable risk factors (smoking, sexual practices) and the importance of regular screening and HPV vaccination.
Understanding the risk profiles for different gynecological cancers is essential for accurate patient assessment and counseling. A nurse must be able to differentiate the risk factors for cervical cancer (multiparity) from those for endometrial cancer (nulliparity).
What if? If a patient who is a nullipara asks about her risk for gynecological cancers, the nurse should explain that while her risk for cervical cancer is not increased by her parity status, her risk for endometrial and ovarian cancer is higher. This allows for comprehensive health education.

How to Approach the Question

First, identify the core subject of the question, which is 'precipitating factors of cervical cancer'.
Note the negative keyword 'except'. This means you are looking for the option that is NOT a risk factor.
Evaluate each option against your knowledge of cervical cancer etiology.
Option A (Low socio-economic condition): Recall that this is linked to poor access to screening and is a known risk factor.
Option B (Multiple sex partners): Recall that this is a primary risk factor for HPV infection, the main cause of cervical cancer.
Option C (Nulliparity): Recall the role of parity. Multiparity (many births) is a risk factor, making nulliparity (no births) the likely exception.

Concept Tested & Keywords

Concept Tested: Risk factors associated with the development of cervical cancer.
Stem keywords: precipitating factors, cervical cancer
Lead-in keywords: except
Negative lead-in flag: Question asks for the exception among the given options.