Nursing Elites

1. Why is abortion important?

• A. It is easily conducted
• B. It can easily be diagnosed
• C. It causes serious complications such as infections and maternal death
• D. All of the above

Correct answer: C

Rationale: Abortion is important due to the serious complications it can cause, such as infections and maternal death. Choices A and B are incorrect because ease of conducting or diagnosing abortion procedures does not inherently make abortion important. Choice D is incorrect because not all the options listed are reasons why abortion is important; only choice C highlights the critical aspect of potential complications.

2. At 16 weeks of pregnancy, the breast changes include:

• A. Montgomery's tubercles are prominent.
• B. Darkening of the nipple.
• C. Prickling, tingling sensation.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

3. What action does the copper used in Copper T have?

• A. Blastocidal
• B. Bacteriostatic
• C. Bacteriocidal
• D. Spermicidal

Correct answer: D

Rationale: The correct answer is D, Spermicidal. The copper in Copper T exerts its action by affecting sperm viability and motility, thus preventing fertilization. Choices A, B, and C are incorrect because Copper T primarily works by preventing sperm from reaching and fertilizing the egg, rather than acting on blastocysts, bacteria, or bacteriocins.

4. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?

• A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
• B. Pink mucosa with multiple small, fluid-filled protrusions
• C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
• D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os

Correct answer: C

Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.

5. Which of the following methods is used for permanent contraception in males?

• A. Vasectomy
• B. Tubal ligation
• C. Condoms
• D. Coitus interruptus

Correct answer: A

Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.

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