Which assessment was done by LARC?

NORCET 2 -2021 (Shift-2)

Obstetrics & Gynaecology

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

LARC stands for Long-Acting Reversible Contraception, which refers to a class of birth control methods.
These methods are highly effective at preventing pregnancy and last for several years, but their effects are reversible once the device is removed.
Common examples of LARC include intrauterine devices (IUDs), both hormonal (like Mirena) and non-hormonal (copper IUD), and subdermal contraceptive implants (like Nexplanon).
The primary function of LARC is contraception, making it the only relevant option among the choices.

Option B: Gestational age is the term used to describe how far along a pregnancy is. It is an assessment performed during pregnancy, not a method of preventing it.
Option C: Fetal maturity assessment, such as checking for lung development via amniocentesis, is done late in pregnancy to see if a fetus is ready for birth, especially if preterm delivery is anticipated. It is unrelated to contraception.
Option D: Cervical dilation is the opening of the cervix, which is a key sign of progressing labor. It is measured during childbirth.

Visual 1: Infographic - An infographic displaying the different types of LARC methods, including the hormonal IUD, copper IUD, and the contraceptive implant, with brief descriptions of each.
Visual 2: Chart - A comparison chart showing the effectiveness rates of various contraceptive methods, highlighting that LARC methods are over 99% effective, making them one of the most reliable options.

Clinical Relevance

Nursing practice connection: Use the key finding related to The question tests the knowledge of the acronym LARC and its meaning in the context of reproductive health to guide bedside assessment, documentation, and the next nursing action.
Nurses play a vital role in patient education and counseling regarding contraceptive choices. A thorough understanding of LARC methods, including their high efficacy, long-term nature, and side effect profiles, is essential for providing comprehensive care.
Promoting LARC is a key public health strategy to reduce rates of unintended pregnancy due to its high effectiveness and low requirement for user adherence.
What if? If a patient expresses a desire for highly effective, long-term contraception but has a contraindication to estrogen (e.g., a history of deep vein thrombosis), the nurse should be prepared to discuss estrogen-free LARC options, such as the progestin-only implant, progestin-only IUD, or the non-hormonal copper IUD.

How to Approach the Question

First, identify the key term in the question, which is the acronym 'LARC'.
Recall or deduce the full form of LARC: Long-Acting Reversible Contraception.
Analyze the options provided: 'Contraceptive', 'Gestational age', 'Fetal Maturity', and 'Cervical dilation'.
Directly connect the meaning of LARC (Contraception) to the options. 'Contraceptive' is the only option that matches.
Eliminate the other options by recognizing they are all related to assessments performed during an ongoing pregnancy or labor, whereas contraception is about preventing pregnancy.

Concept Tested & Keywords

Concept Tested: The question tests the knowledge of the acronym LARC and its meaning in the context of reproductive health.
Stem keywords: LARC, assessment
Lead-in keywords: Which
Negative lead-in flag: false

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