AIIMS Bhopal NO - 2018 (Shift-1st)
Obstetrics & Gynaecology
Easy
Which of the following is the method of termination of pregnancy in the second trimester (13 to 20 weeks)?
Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)
Explanation
- Termination of pregnancy in the second trimester (13-20 weeks) can be performed either surgically (Dilation and Evacuation - D&E) or medically by inducing labor.
- Oxytocin is a potent uterotonic agent, meaning it stimulates the uterus to contract.
- A concentrated oxytocin infusion is administered intravenously to induce strong, regular uterine contractions, mimicking labor to expel the fetus and placenta.
- This method is one of the established pharmacological options for inducing a second-trimester abortion.
Why Other Options Were Wrong
- Option A: Mifepristone is primarily used for medical abortion in the first trimester, typically up to 10 weeks (70 days) of gestation. It works by blocking the hormone progesterone, which is necessary to sustain a pregnancy.
- Option B: Methotrexate is a folic acid antagonist used for medical termination of very early first-trimester pregnancies. It is also the primary treatment for unruptured ectopic pregnancies.
- Option D: Vacuum aspiration, also known as suction curettage, is the most common surgical method for pregnancy termination during the first trimester (up to 12-14 weeks).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Methods of second-trimester pregnancy termination as background academic context rather than a clinical decision trigger.
- Nurses play a critical role in managing patients undergoing second-trimester termination. This includes administering medications like oxytocin, managing pain, monitoring vital signs, and observing for complications such as hemorrhage, infection, or retained products of conception.
- Providing non-judgmental emotional and psychological support is a crucial nursing responsibility, as patients may experience a range of emotions including grief, anxiety, or relief.
- What if? If the patient had a previous cesarean section, the use of uterotonic agents like oxytocin or prostaglandins for second-trimester induction carries an increased risk of uterine rupture. The care team would need to counsel the patient on this risk and might consider D&E as a potentially safer alternative.
How to Approach the Question
- First, identify the key parameters in the question stem: 'termination of pregnancy' and the specific time frame, 'second trimester (13 to 20 weeks)'.
- Next, systematically evaluate each option based on your knowledge of abortion methods and their typical gestational windows.
- Recall that Mifepristone and Methotrexate are drugs primarily used for medical abortions in the first trimester.
- Recall that Vacuum Aspiration is a surgical procedure for the first trimester. The corresponding second-trimester procedure is Dilation and Evacuation (D&E).
- Identify that inducing labor is a valid medical method for second-trimester termination.
- Recognize Oxytocin as a powerful uterotonic agent used to induce labor contractions. This makes it the correct choice among the given options for a second-trimester termination.
Concept Tested & Keywords
- Concept Tested: Methods of second-trimester pregnancy termination.
- Stem keywords: termination of pregnancy, second trimester, 13 to 20 weeks
- Lead-in keywords: Which of the following
Question ID
QUSOUr27YRRRsF-5hXke6N
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 8401-8404, 8398-8400
E6 Obstetrics Williams p. 8-20
Practise the full AIIMS Bhopal NO - 2018 (Shift-1st)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Hemorrhage in Early Pregnancy Questions
- Nurse's main priority assessment while caring for the client having spontaneous abortion:
- Most common site of ectopic pregnancy?
- In ectopic pregnancy deciduas are shed as?
- The most common site of ectopic pregnancy is?
- Chief site of ectopic pregnancy is?
- When a fertilized ovum is implanted outside the uterine cavity, it is called?
- A woman with 36 weeks of gestation informs the nurse there is a sudden gush of fluid from the vagina. This indicates which of the clinical conditions?
- What is the type of abortion wherein the fetus is dead but retained inside the uterus for a variable period?
- Which of the following is NOT a characteristic of a threatened abortion?
- Which is a benign condition where the glandular cells that normally line the cervical canal (endocervix) are present on the outer surface of the cerv…
More AIIMS Bhopal NO - 2018 (Shift-1st) Questions
- What is the site of referred pain when pain is arising from the cervix?
- The division of bacterial cells and the exponential increase in their number are indicative of which phase?
- The nursing care that focuses on patient care along with the family needs, in the scope of a multidisciplinary health care team, is called?
- Which is not an indication of oxygen administration?
- What is the average incubation period of chickenpox?
- Which of the following is considered under acute neuropsychiatric complications of AIDS?
- Which of the following is the unit of measurement in bacteriology?
- Melena suggests which of the following?
- Which of the following is the hypertensive Blood Pressure of a 6-year-old child?
- What should be the size of the endotracheal tube for a newborn weighing 2,000 to 3,000 gm?