Which of the following is second generation intrauterine contraceptive device?

Appeared in: HPSSSB Staff Nurse - 2016

Explanation

The question asks to identify a second-generation IUD.
Second-generation IUDs are characterized by being copper-releasing devices.
Cu-T-380A is a copper-bearing IUD, where copper ions act as a spermicide, preventing fertilization.
The number '380' in Cu-T-380A refers to the surface area of the copper, which correlates with its high efficacy and long duration of action (up to 10 years).

Option A: Progestasert is a third-generation IUD, not a second-generation one.
Option C: Lippes Loop is a first-generation, inert (non-medicated) IUD. It does not contain copper or hormones.
Option D: LNG 20 (e.g., Mirena) is a third-generation IUD that releases the hormone levonorgestrel.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of Intrauterine Devices (IUDs) as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in counseling women about contraceptive choices. Understanding the differences between IUD generations is essential for providing accurate information about effectiveness, side effects, and duration of use.
A key counseling point for copper IUDs (2nd gen) is that they can increase menstrual bleeding and cramping, whereas hormonal IUDs (3rd gen) often reduce bleeding.
Nurses must teach clients the 'PAINS' warning signs for IUD complications: Period late/abnormal, Abdominal pain, Infection exposure (STI), Not feeling well (fever/chills), String missing/shorter/longer.

How to Approach the Question

First, identify the core concept of the question, which is the classification of IUDs.
Recall or deduce the three generations of IUDs: 1st (Inert), 2nd (Copper), and 3rd (Hormonal).
Analyze each option and categorize it into one of the three generations.
Progestasert and LNG 20 are hormonal, so they are 3rd generation.
Lippes Loop is a classic inert device, making it 1st generation.
Cu-T-380A contains copper ('Cu'), placing it in the 2nd generation.

Concept Tested & Keywords

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

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

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 43-51

Practise the full HPSSSB Staff Nurse - 2016

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