RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Obstetrics & Gynaecology
Easy
Suction evacuation can be done up to?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Explanation
- Suction evacuation (vacuum aspiration) is the standard surgical method for first-trimester abortions.
- This procedure includes Manual Vacuum Aspiration (MVA) and Electric Vacuum Aspiration (EVA).
- While EVA can be used up to 14 weeks, 10 weeks (70 days) is a common upper limit for medical abortions and a point where MVA becomes less efficient.
- Among the given choices, 10 weeks is the most accurate representation of the common upper boundary for simpler first-trimester termination methods before transitioning to procedures required for later gestations.
Why Other Options Were Wrong
- Option A: While suction evacuation can be performed at 6 weeks, this is not the upper limit for the procedure. It represents an early stage of gestation where this method is applicable.
- Option C: At 16 weeks, the pregnancy is in the second trimester. The standard procedure is Dilation and Evacuation (D&E), which involves forceps in addition to suction, not simple suction evacuation.
- Option D: At 20 weeks, the pregnancy is well into the second trimester. Suction evacuation alone is not appropriate. D&E or induction of labor are the methods used at this stage.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The concept tested is the appropriate gestational age limit for performing a suction evacuation procedure for pregnancy termination as background academic context rather than a clinical decision trigger.
- Nurses must be knowledgeable about the different methods of pregnancy termination and their gestational age limits to provide accurate patient counseling and support.
- Understanding the correct procedure for a given gestational age is crucial for patient safety, as using an inappropriate method can lead to complications like incomplete abortion, hemorrhage, or uterine perforation.
- A nurse's role includes preparing the patient for the procedure, providing post-procedure care instructions, and monitoring for complications.
How to Approach the Question
- First, identify the core of the question: it asks for the upper limit of 'suction evacuation'.
- Recall or look up the definition of suction evacuation and the different types (MVA, EVA).
- Associate different abortion methods with their typical gestational age ranges: first trimester vs. second trimester.
- Recognize that the first trimester ends around 12-14 weeks. Procedures like D&E are for the second trimester.
- Eliminate options that fall squarely in the second trimester (16 and 20 weeks) as they require D&E, not just suction.
- Evaluate the remaining first-trimester options (6 and 10 weeks). The question asks for the 'upper limit', so 6 weeks is incorrect as it's an early point, not a limit.
Concept Tested & Keywords
- Concept Tested: The concept tested is the appropriate gestational age limit for performing a suction evacuation procedure for pregnancy termination.
- Stem keywords: Suction evacuation, up to
- Lead-in keywords: BEST, MOST RELEVANT CLUE
Question ID
QLbGtNO_zqmOG278RZs2LP
Reference Book
E6 Gynecology Williams p. 161-195
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8401-8404
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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