Nursing Elites

1. Appropriate Technologies and Skills involve:

• A. Selecting technologies according to universal standards.
• B. Ensuring a doctor is present at the service-providing facility.
• C. Requiring that health care providers are nurses.
• D. Selecting technologies that are easy to use but not necessarily effective.

Correct answer: A

Rationale: The correct answer is A: 'Selecting technologies according to universal standards.' Appropriate technologies and skills involve choosing tools and methods based on universal standards to ensure effectiveness and efficiency. Choice B is incorrect because the presence of a doctor is not necessarily a defining factor for appropriate technologies and skills. Choice C is incorrect as appropriate technologies are not limited to being utilized only by nurses. Choice D is incorrect as the focus should be on selecting technologies that are both easy to use and effective, not one or the other.

2. At 3-4 weeks of pregnancy, the breast changes include:

• A. Darkening of the nipple.
• B. Prickling, tingling sensation.
• C. Breast becomes tender.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.

3. Treatment for condylomata acuminata includes the following EXCEPT:

• A. Vulvectomy
• B. Podophyllin application
• C. Laser therapy
• D. Electrocautery

Correct answer: A

Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.

4. The endometrium is shed up to the basal layer during this phase of the menstrual cycle:

• A. Ovulation
• B. Regenerative
• C. Secretory
• D. Menstruation

Correct answer: D

Rationale: The correct answer is D. During the menstrual phase of the menstrual cycle, the endometrium is shed up to the basal layer. This shedding occurs as a result of decreased levels of estrogen and progesterone, leading to the breakdown and subsequent shedding of the endometrial lining. Choice A, ovulation, is incorrect as ovulation is the release of an egg from the ovary, which occurs during the mid-cycle. Choice B, regenerative, is incorrect as it does not specifically refer to the phase where the shedding of the endometrium occurs. Choice C, secretory, is incorrect as it refers to the phase where the endometrium thickens in preparation for possible implantation of a fertilized egg, not shedding.

5. How many arteries are there in an umbilical cord?

• A. Three
• B. One
• C. Two
• D. Four

Correct answer: C

Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.

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