RUHS, Jaipur, PB B.Sc Nursing Entrance-2022
Obstetrics & Gynaecology
Easy
The Copper IUCD 380A is effective to protect from pregnancy for -
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2022
Explanation
- The Copper T 380A is a second-generation intrauterine contraceptive device (IUCD).
- It is a long-acting reversible contraceptive (LARC) method.
- It is approved for providing effective protection against pregnancy for a duration of 10 years.
- Its mechanism involves the continuous release of copper ions, which creates a spermicidal environment in the uterus, preventing fertilization.
Why Other Options Were Wrong
- Option A: The approved duration for Copper T 380A is 10 years, not 7. While some hormonal IUDs like the levonorgestrel-releasing IUD may be used for 7 years, this is not the standard for the copper IUD.
- Option C: 5 years is the standard approved duration for many hormonal intrauterine systems (IUS), such as Mirena or Kyleena, which release levonorgestrel.
- Option D: 3 years is the duration for smaller hormonal IUDs like Skyla, which are often recommended for nulliparous women. It can also be the duration for older, less effective copper IUDs like the CuT 200.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Effective duration of Copper T 380A IUCD as background academic context rather than a clinical decision trigger.
- Nurses must provide accurate counseling on the duration of effectiveness for different contraceptive methods to ensure informed patient choice.
- Patient education should include how to check for the IUD strings monthly and to recognize the warning signs of complications using the PAINS acronym: Period late, Abdominal pain, Infection exposure, Not feeling well (fever, chills), String missing.
- It is crucial to emphasize that while highly effective against pregnancy, the Copper IUD offers no protection against sexually transmitted infections (STIs).
How to Approach the Question
- First, identify the specific contraceptive device mentioned in the question, which is the 'Copper IUCD 380A'.
- This is a factual recall question that requires knowledge of different family planning methods.
- Recall the different types of intrauterine devices: non-medicated (inert), medicated (copper-releasing), and hormonal (progestin-releasing).
- Differentiate the approved duration of use for each type. The Copper T 380A is known for its long duration.
- Compare the options provided with the known duration of the Copper T 380A. 10 years is the standard approved duration.
- Eliminate the other options by associating them with different devices (e.g., 5 years for Mirena, 3 years for Skyla).
Concept Tested & Keywords
- Concept Tested: Effective duration of Copper T 380A IUCD
- Stem keywords: Copper IUCD 380A, effective, protect from pregnancy, duration
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Q-a1Mah8Ek8V7k9kfS-4QM
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 190-192
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8411-8413
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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