Under safe abortion services the following facilities are provided to women EXCEPT :

Appeared in: IGNOU PB. Bsc. Nsg. Entrance-2025

Explanation

Oral contraceptive pills (OCPs) are a form of hormonal contraception used to prevent pregnancy; they do not terminate an existing pregnancy.
The primary mechanisms of OCPs include preventing ovulation, thickening cervical mucus to block sperm, and altering the uterine lining to prevent implantation.
Because their function is preventative (pre-conceptional), they are not classified as an abortifacient or a service for pregnancy termination.

Option A: Mifepristone (RU-486) is a cornerstone of medical abortion. It works by blocking progesterone, a hormone essential for maintaining pregnancy.
Option B: Misoprostol is a prostaglandin analogue that induces uterine contractions and is used, often with mifepristone, to complete a medical abortion.
Option C: Manual Vacuum Aspiration (MVA) is a widely used, safe surgical method for terminating early pregnancies.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Methods of safe abortion versus contraception as background academic context rather than a clinical decision trigger.
Nurses play a critical role in providing accurate, unbiased counseling on all reproductive health options, ensuring patients understand the difference between contraception and abortion.
A thorough understanding of the Medical Termination of Pregnancy (MTP) Act in India is essential for nurses to provide care that is both safe and legally compliant.
Patient education must include the mechanisms, effectiveness, side effects, and legal status of each option to facilitate informed consent.

How to Approach the Question

First, identify the negative keyword 'EXCEPT' in the question. This signals that you must find the option that does not belong to the group.
The group or category defined in the stem is 'safe abortion services'.
Evaluate each option to determine if it is a method used for terminating a pregnancy.
Analyze Option A: Mifepristone is a well-known abortion pill. It fits the category.
Analyze Option B: Misoprostol is used with mifepristone for medical abortion. It fits the category.
Analyze Option C: Manual Vacuum Aspiration (MVA) is a surgical abortion procedure. It fits the category.

Concept Tested & Keywords

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 198-200, 199-200

E6 Gynecology Williams p. 162-196

Practise the full IGNOU PB. Bsc. Nsg. Entrance-2025

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