SGPGI Nursing Officer-2024
Obstetrics & Gynaecology
Easy
Which of the following contraceptive method does not require a doctor's prescription?
Appeared in: SGPGI Nursing Officer-2024
Explanation
- Condoms are a barrier method of contraception that physically blocks sperm from reaching the egg.
- They are widely available for purchase over-the-counter (OTC) in various retail settings, meaning they do not require a doctor's visit or prescription.
- This high accessibility makes them a crucial tool for spontaneous and immediate protection.
- In addition to preventing pregnancy, latex and polyurethane condoms are highly effective at reducing the transmission of sexually transmitted infections (STIs).
Why Other Options Were Wrong
- Option A: Oral contraceptive pills (OCPs) are hormonal medications. A prescription is necessary so a healthcare provider can screen the patient for potential health risks and contraindications, such as a history of blood clots, migraines with aura, or certain types of cancer.
- Option B: RSD is not a standard medical acronym for any recognized method of contraception. It is included as a distractor option to test the candidate's familiarity with actual contraceptive methods.
- Option D: A diaphragm is a barrier device that is inserted into the vagina to cover the cervix. To be effective, it must be the correct size for the individual's anatomy. Therefore, it requires an initial fitting by a healthcare provider and is available only by prescription.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Accessibility and prescription requirements of contraceptive methods as background academic context rather than a clinical decision trigger.
- Nurses have a vital role in patient education regarding family planning. Knowing which methods are easily accessible without a prescription, like condoms, is essential for providing comprehensive counseling.
- For patients needing immediate protection from pregnancy or STIs, recommending an over-the-counter method is a critical first-line nursing intervention while they may be awaiting an appointment for a prescription method.
- What if? If a patient reports a latex allergy, the nurse should advise them that non-latex condoms (e.g., polyurethane or polyisoprene) are also available over-the-counter and provide effective protection.
How to Approach the Question
- First, analyze the question to identify the key requirement: a contraceptive method that does NOT need a doctor's prescription.
- This is a factual recall question. Systematically review each option based on your knowledge of how different contraceptives are obtained.
- Evaluate Option A (OCP): These are hormonal pills and require medical screening, so a prescription is needed.
- Evaluate Option B (RSD): This is not a recognized contraceptive method, so it can be eliminated as a distractor.
- Evaluate Option C (Condom): These are barrier devices sold in many stores and do not require a prescription.
- Evaluate Option D (Diaphragm): This is a barrier device that needs to be sized by a doctor, so a prescription is required.
Concept Tested & Keywords
- Concept Tested: Accessibility and prescription requirements of contraceptive methods
- Stem keywords: contraceptive method, doctor's prescription
- Lead-in keywords: does not require
- Negative lead-in flag: The question asks which method does NOT require a prescription, framing it negatively.
Question ID
QGkFrX2l7RJ1HyLAPcxy4b
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 2
E6 Nursing Fundamentals Taylor p. 1009-1011
Practise the full SGPGI Nursing Officer-2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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