Nursing Elites

1. _______ is a lytic enzyme released by the sperm.

• A. Hyaluronidase
• B. Trypsin
• C. Helicase
• D. None of the above

Correct answer: A

Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.

2. What is amniocentesis used to detect?

• A. Sexually transmitted diseases
• B. Presence of certain genetic disorders
• C. Causes of infertility
• D. Presence of pneumonia germs

Correct answer: B

Rationale: Amniocentesis is a prenatal test used to detect certain genetic disorders in a developing fetus. It involves collecting a small sample of the amniotic fluid surrounding the fetus and analyzing the genetic material present in the cells. This test is not used to detect sexually transmitted diseases, causes of infertility, or the presence of pneumonia germs. Therefore, the correct answer is B.

3. What is the triangular space lying between the vaginal and rectal canals?

• A. Pelvic floor
• B. Perineum
• C. Vestibule
• D. Perineal body

Correct answer: B

Rationale: The correct answer is B: Perineum. The perineum is the triangular space located between the vaginal and rectal canals. It is a region containing various muscles, nerves, and blood vessels that support the pelvic floor. Choice A, Pelvic floor, refers to the structure supporting the organs in the pelvic cavity, not the space between the vaginal and rectal canals. Choice C, Vestibule, is the space within the labia minora containing the openings of the urethra and vagina, not the area between the vaginal and rectal canals. Choice D, Perineal body, is a fibromuscular mass in the perineum area but not the space between the vaginal and rectal canals.

4. Lactational Amenorrhoea Method (LAM) is best for:

• A. Clients who do not wish to have any more children
• B. Clients with a baby less than 6 months postpartum
• C. Clients who want to wait before having a first or another child
• D. Clients with several sexual partners

Correct answer: B

Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.

5. What is the definition of incomplete abortion?

• A. Part of the products of conception, especially the fetus, is expelled while the placenta and membranes are retained.
• B. All products of conception are expelled, and there is minimal per vaginal bleeding.
• C. The cervix is closed, and the products of conception remain in the uterus.
• D. The cervix dilates, and the products of conception are expelled.

Correct answer: A

Rationale: Incomplete abortion is defined as part of the products of conception, especially the fetus, being expelled while the placenta and membranes are retained. This is the correct definition, making option A the right choice. Option B is incorrect as it describes a complete abortion. Option C is incorrect because in incomplete abortion, the products of conception are not retained in the uterus, and the cervix may be open. Option D is incorrect as it describes a situation more likely to be seen in an inevitable abortion.

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