Which of the following is not an injectable contraceptive?

Appeared in: Raj. CHO -2024

Explanation

Chhaya is the correct answer as it is an oral contraceptive, not an injectable one.
It is a non-steroidal, non-hormonal pill, also known by the names 'Saheli' and 'Centchroman'.
The route of administration for Chhaya is oral, with a unique weekly dosing schedule after an initial 3-month bi-weekly phase.
This contrasts with the other options, which are all administered via intramuscular injection.

Option A: NET-EN (Norethisterone Enanthate) is a progestin-only injectable contraceptive.
Option C: ANTRA is the brand name for the injectable contraceptive DMPA, provided under the National Family Welfare Programme of India. It is administered as an injection.
Option D: DMPA (Depot Medroxyprogesterone Acetate) is a widely used progestin-only injectable contraceptive.

Visual 1: Infographic: A chart comparing different contraceptive methods available in India, showing their type (hormonal/non-hormonal), route (oral/injectable/IUD), frequency, and effectiveness.

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 family planning by providing accurate counseling on various contraceptive methods. Understanding the type, route, schedule, and side effects of each method is essential for ensuring informed patient choice and adherence.
It is important to counsel patients on injectables that menstrual irregularities (like spotting or amenorrhea) are common side effects, which can improve adherence.
For Chhaya, the nurse must emphasize the unique dosing schedule (twice weekly for 3 months, then weekly) to ensure contraceptive efficacy.

How to Approach the Question

First, carefully read the question and note the negative keyword 'not'. The goal is to find the option that does not fit the category of 'injectable contraceptive'.
Review each option and recall its method of administration.
Categorize each option: NET-EN is an injection. Chhaya is an oral pill. ANTRA is an injection (brand name for DMPA). DMPA is an injection.
Identify the option that is different from the others. In this case, Chhaya is the only oral pill.
Therefore, Chhaya is the one that is 'not' an injectable contraceptive.

Concept Tested & Keywords

Concept Tested: Classification of Contraceptive Methods
Stem keywords: contraceptive, injectable
Lead-in keywords: not
Negative lead-in flag: The question uses the negative keyword 'not', asking to identify the exception among the options.

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Practise the full Raj. CHO -2024

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