Nursing Elites

1. What is the most important factor in ensuring accessibility in reproductive health services?

• A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
• B. Requiring patients to access multiple services to get the care they need.
• C. Providing reproductive health services only to those who can afford it.
• D. Providing health services only in urban areas.

Correct answer: A

Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.

2. A solid ball of 12-16 cells having undergone mitotic division after fertilization is:

• A. Zygote
• B. Blastomere
• C. Morula
• D. Blastocyst

Correct answer: C

Rationale: A morula is a stage in embryonic development where a solid ball of 12-16 cells is formed after several rounds of mitotic division following fertilization. The zygote is the initial cell formed by the fusion of sperm and egg. Blastomere refers to individual cells in a developing embryo. A blastocyst is a later stage where a fluid-filled cavity forms within the embryo. Therefore, the correct answer is 'Morula.'

3. What is Diazepam used for?

• A. Management of post-partum hemorrhage.
• B. Management of pre-eclampsia.
• C. Induction of labor.
• D. Relieving anxiety.

Correct answer: D

Rationale: Diazepam is primarily used for relieving anxiety and muscle spasms. It is a benzodiazepine medication that works by enhancing the effects of a neurotransmitter in the brain to produce a calming effect. While Diazepam is not used for managing post-partum hemorrhage, pre-eclampsia, or inducing labor, it is essential in treating anxiety disorders, muscle spasms, and certain types of seizures. Therefore, option D is the correct answer as it aligns with the primary therapeutic use of Diazepam.

4. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

• A. 0.1-0.5
• B. 0.2-0.5
• C. 1.0-2.0
• D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

5. In order to provide services effectively and in the best interests of the whole family:

• A. The wife's relatives need to be contacted
• B. It's important to seek the services of a traditional healer
• C. Health providers need to be aware of the roles and decision-making process within the family
• D. Health providers need to conduct door-to-door sensitization on health matters

Correct answer: C

Rationale: The correct answer is C: 'Health providers need to be aware of the roles and decision-making process within the family.' To provide services effectively, health providers must understand the dynamics within a family, including who makes decisions and how roles are distributed. This knowledge helps them tailor their services to meet the needs and preferences of the whole family. Choices A and B are incorrect because contacting the wife's relatives or seeking the services of a traditional healer may not necessarily align with providing effective services based on family dynamics. Choice D is also incorrect as door-to-door sensitization may not directly address the internal dynamics of a family.

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