The hormonal method of contraception is?

Appeared in: DSSSB - 29 August 2019 (Shift-2)

Explanation

Oral pills are the most common form of hormonal contraception.
They contain synthetic hormones (estrogen and progestin, or progestin-only) that mimic the body's natural hormones.
The primary mechanism of action is the suppression of ovulation by inhibiting the release of gonadotropins (FSH and LH) from the pituitary gland.
Secondary mechanisms include thickening cervical mucus to impede sperm transport and altering the endometrium to make it less receptive to implantation.

Option B: The cervical cap is a barrier method, not a hormonal one. It works by physically blocking sperm from entering the cervix.
Option C: Condoms are a barrier method. They create a physical barrier that prevents semen from entering the vagina.
Option D: Tubectomy is a permanent surgical method of sterilization. It involves no hormones and works by physically blocking the fallopian tubes.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of contraceptive methods as background academic context rather than a clinical decision trigger.
Nurses play a vital role in educating patients about the correct use of oral contraceptives, including the importance of taking the pill at the same time every day and the protocol for missed pills.
A thorough health history is essential before prescribing hormonal contraceptives to screen for contraindications such as a history of blood clots, stroke, heart attack, certain cancers, or severe liver disease.
It is important to remind patients that while hormonal contraceptives are highly effective at preventing pregnancy, they do not protect against sexually transmitted infections (STIs).

How to Approach the Question

First, identify the key term in the question: 'hormonal method'. This directs you to a specific category of contraception.
Mentally review the major classifications of birth control: hormonal, barrier, intrauterine, surgical/permanent, and natural methods.
Evaluate each option against the 'hormonal' classification.
Option A, 'Oral pills', are known to contain hormones to prevent pregnancy.
Options B ('Cervical cap') and C ('Condoms') are physical barriers.
Option D, 'Tubectomy', is a surgical procedure.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor p. 1009-1011

E6 Physiology Essentials Sembulingam 10e Part 2 p. 155-157

Practise the full DSSSB - 29 August 2019 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.