Which of the following is a hormonal contraceptive?

Appeared in: DSSSB - 29 August 2019 (Shift-1)

Explanation

Oral contraceptives are a primary example of hormonal contraception.
They contain synthetic hormones, typically a combination of estrogen and progestin, or progestin-only.
The mechanism of action involves preventing ovulation (the release of an egg), thickening cervical mucus to impede sperm movement, and thinning the uterine lining to make implantation difficult.
These pills are highly effective when taken consistently as prescribed.

Option B: Vasectomy is a surgical method of permanent male sterilization, not a hormonal method. It involves a procedure to block the vas deferens.
Option C: Condoms are a barrier method of contraception. They work by creating a physical barrier to prevent sperm from entering the uterus and do not involve any hormones.
Option D: A cervical cap is a barrier method, similar to a diaphragm. It is a silicone cup placed over the cervix to physically block sperm and does not use hormones.

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 crucial role in patient education regarding contraception, helping individuals choose a method that aligns with their health status, lifestyle, and reproductive goals.
A thorough health history is essential before initiating hormonal contraceptives, as conditions like a history of thromboembolism, certain cancers, liver disease, or smoking in women over 35 can be contraindications.
It is vital to emphasize that while hormonal contraceptives are highly effective for preventing pregnancy, they do not offer protection against sexually transmitted infections (STIs).

How to Approach the Question

First, identify the core concept of the question, which is 'hormonal contraceptive'.
Recall the main categories of contraception: hormonal, barrier, surgical (sterilization), and intrauterine devices (IUDs).
Evaluate each option against these categories.
Oral contraceptive pills are known to contain and work via hormones.
Vasectomy is a surgical procedure.
Condoms and cervical caps are physical barriers.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor p. 1009-1011

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 193-195

E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 2

Practise the full DSSSB - 29 August 2019 (Shift-1)

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