Nursing Elites

1. At 6-8 weeks of pregnancy, the breast changes include:

• A. Colostrum can be expressed.
• B. Breasts become tender.
• C. Montgomery's tubercles are prominent.
• D. Nipples become prominent and mobile.

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

2. Which of the following Leopold maneuvers assesses the fetal lie?

• A. Fundal grip
• B. Umbilical grip
• C. Pawlick grip
• D. Pelvic grip

Correct answer: A

Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.

3. In the past, when was a woman only allowed to access Family planning methods?

• A. when she was married
• B. when she had more than four children
• C. when she produced a letter of consent from the husband
• D. when the doctors recommended

Correct answer: C

Rationale: In the past, women were often required to produce a letter of consent from their husband to access family planning services. This requirement stemmed from traditional beliefs and societal norms that placed men in control of such decisions. Choice A is incorrect because marital status alone did not determine access to family planning. Choice B is incorrect because the number of children a woman had did not dictate her access to family planning. Choice D is incorrect because medical recommendations alone did not influence a woman's access to family planning services in the past.

4. 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.

5. What is the role of the progesterone hormone?

• A. Stimulates the development of the nipple and duct system in the breast.
• B. Stimulates the storage of milk.
• C. Stimulates the secretion of relaxin.
• D. Stimulates the development of glandular tissue in the breast.

Correct answer: A

Rationale: The correct answer is A. Progesterone hormone's role includes stimulating the development of the nipple and duct system in the breast. This hormone is crucial for preparing the breast for potential pregnancy by promoting the growth of structures necessary for milk production. Choices B, C, and D are incorrect because progesterone primarily focuses on preparing the breast for lactation rather than directly stimulating milk storage, relaxin secretion, or glandular tissue development.

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