DSSSB - 29 August 2019 (Shift-1)
Obstetrics & Gynaecology
Easy

Which of the following is NOT a type of intrauterine device (IUD)?

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

Explanation

  • Chemical foam tablets are not an IUD; they are a form of spermicide, which is a chemical barrier method of contraception.
  • Spermicides are placed in the vagina before intercourse to kill or immobilize sperm, preventing them from reaching the egg.
  • In contrast, IUDs are small devices inserted into the uterus by a healthcare provider to provide long-term contraception.

Why Other Options Were Wrong

  • Option A: This is a type of IUD.
  • Option B: This is a type of IUD.
  • Option C: This is a type of IUD.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of contraceptive methods, specifically Intrauterine Devices (IUDs) vs. chemical barrier methods as background academic context rather than a clinical decision trigger.
  • Nurses play a crucial role in patient education regarding contraceptive options, ensuring the patient understands the differences in mechanism, placement, effectiveness, and side effects of methods like IUDs versus spermicides.
  • Correct patient counseling is vital for adherence and effectiveness. For instance, a patient must know that spermicides need to be applied before each act of intercourse, whereas an IUD provides continuous protection.
  • What if a patient using a spermicide reports skin irritation? The nurse should advise them to discontinue use and consult a doctor, as it could be an allergic reaction to the chemical agent (e.g., Nonoxynol-9). An alternative non-hormonal method might be needed.
How to Approach the Question
  • First, identify the negative keyword 'NOT' in the question. This means you are looking for the option that does not belong to the group.
  • The question asks to identify what is NOT an Intrauterine Device (IUD).
  • Recall or review the definition of an IUD: a device placed inside the uterus for contraception.
  • Evaluate each option: Is Lippes loop an IUD? Yes, a first-generation one. Is Multiload an IUD? Yes, a copper one. Is Copper T an IUD? Yes, a copper one.
  • Evaluate the final option: Are chemical foam tablets an IUD? No, they are a chemical spermicide used in the vagina.
  • Select the option that is the exception, which is 'Chemical foam tablets'.
Concept Tested & Keywords
  • Concept Tested: Classification of contraceptive methods, specifically Intrauterine Devices (IUDs) vs. chemical barrier methods.
  • Stem keywords: intrauterine device, IUD, type
  • Lead-in keywords: NOT
  • Negative lead-in flag: Question asks for the option that is an exception.

Question ID

Q3udCLthnirEcrcTO6LYx8

Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 45-47

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 190-192, 189-191

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.

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