How many types of Cu-IUCDs are available under national program?

Hariyana-CHO-2021

Obstetrics & Gynaecology

Easy

Appeared in: Hariyana-CHO-2021

Explanation

The National Family Welfare Programme of India provides two main types of Copper-releasing Intrauterine Contraceptive Devices (Cu-IUCDs).
These are the CuT 380A, which is effective for 10 years, and the CuT 375 (also known as Multiload 375), which is effective for 5 years.
This provision allows women to make an informed choice based on their desired duration of contraception and family planning goals.
Both are second-generation IUCDs that release copper ions to prevent fertilization.

Option A: This is incorrect. The program offers more than one type of Cu-IUCD to provide choices for different durations of contraception.
Option C: This is incorrect. While other types of IUCDs exist globally (such as hormonal IUCDs like LNG-IUS or other copper models), the Indian national program primarily supplies two types of copper IUCDs.
Option D: This option is incorrect because only one of the numerical options (2) is the correct answer.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of Intrauterine Contraceptive Devices (IUCDs) in India's National Programme as background academic context rather than a clinical decision trigger.
Nurses play a vital role in counseling clients about contraceptive choices. Knowing the specific types of IUCDs available under the national program, their duration of effectiveness, and potential side effects is essential for providing accurate information and ensuring informed consent.
Accurate knowledge helps in managing client expectations regarding side effects like initial cramping or changes in menstrual bleeding.
What if? If a client desires contraception for only 2-3 years, the nurse should explain that while the 5-year CuT 375 is an option, it can be removed anytime she wishes to conceive. This clarifies that the stated lifespan is the maximum duration, not a mandatory period.

How to Approach the Question

Identify the keywords in the question: "How many types," "Cu-IUCDs," and "national program." This is a factual recall question specific to public health initiatives in India.
Recall the different categories of contraceptives. The question specifically asks about Copper IUCDs, so hormonal IUCDs (like Mirena/LNG-IUS) should be excluded from the count.
Enumerate the specific models of Cu-IUCDs supplied by the Indian government's family welfare program.
The two primary models are CuT 380A (10-year lifespan) and CuT 375 (5-year lifespan).
Count the number of types, which is two.
Select the option that matches the count.

Concept Tested & Keywords

Concept Tested: Types of Intrauterine Contraceptive Devices (IUCDs) in India's National Programme.
Stem keywords: Cu-IUCDs, national program, types
Lead-in keywords: How many

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