NORCET -4 , 2023
Obstetrics & Gynaecology
Easy
All of the following are true about ANTRA contraceptive, except?
Appeared in: NORCET -4 , 2023
Explanation
- The core concept tested is the reversibility of hormonal contraceptives.
- Antara, which is Depot Medroxyprogesterone Acetate (DMPA), is classified as a long-acting reversible contraceptive (LARC).
- Its contraceptive effect is temporary and wears off after the drug is cleared from the body.
- While there can be a delay in the return to fertility (averaging 5-10 months), it is not a permanent or irreversible method.
- Textbook evidence confirms that studies show a high percentage of women (over 90%) achieve pregnancy within two years of discontinuing DMPA.
Why Other Options Were Wrong
- Option A: This statement is true. Antara is the brand name for the injectable contraceptive DMPA, which is administered as an intramuscular injection every three months.
- Option C: This statement is true. Antara is indicated for women of reproductive age, typically considered to be from 15 to 45 years, for the purpose of spacing pregnancies.
- Option D: This statement is true. Under India's National Family Planning Programme, the Antara injection is provided free of cost at all government health facilities to increase access to modern contraceptive methods.
Related Visual
- Visual 1: Infographic - A chart showing the mechanism of action of DMPA, including suppression of ovulation and thickening of cervical mucus.
- Visual 2: Flowchart - A timeline illustrating the return to fertility after discontinuing Antara, showing the average time and the percentage of women who conceive by 1 and 2 years.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Properties of Antara (DMPA) injectable contraceptive as background academic context rather than a clinical decision trigger.
- A nurse's primary role is to provide accurate counseling to patients choosing a contraceptive method. It is critical to inform them that Antara is reversible but that fertility return can be delayed, which is an important factor for family planning.
- Nurses must counsel patients on potential side effects, such as menstrual irregularities (amenorrhea or irregular bleeding) and weight gain, to improve adherence and patient satisfaction.
- Patient education should include the injection schedule (every 3 months) and the importance of timely follow-up doses to ensure contraceptive efficacy.
How to Approach the Question
- First, identify the keywords in the question. The key terms are 'ANTRA contraceptive' and 'except'.
- The word 'except' signals that you need to find the one statement that is FALSE. Three of the options will be true facts about Antara.
- Evaluate each option for its accuracy based on your knowledge of family planning methods.
- Option A: Is Antara an injection? Yes. This is true.
- Option B: Is it irreversible? No, hormonal methods like this are designed to be reversible. This is likely the false statement.
- Option C: Is it for the 15-45 age group? Yes, this is the standard reproductive age range. This is true.
Concept Tested & Keywords
- Concept Tested: Properties of Antara (DMPA) injectable contraceptive
- Stem keywords: ANTRA contraceptive, true
- Lead-in keywords: except
- Negative lead-in flag: The question asks for the exception, meaning you must find the FALSE statement among the options.
Question ID
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Practise the full NORCET -4 , 2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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