Nursing Elites

1. 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.

2. The placenta is developed from which part of the trophoblast?

• A. Chorionic Frondosum
• B. Anchoring Villi
• C. Chorionic Laeve
• D. Body Stalk

Correct answer: A

Rationale: The correct answer is A: Chorionic Frondosum. The placenta is developed from the chorionic frondosum part of the trophoblast. This structure gives rise to the fetal part of the placenta. Choices B, C, and D are incorrect. Anchoring Villi are projections from the chorionic plate that attach the placenta to the uterine wall. Chorionic Laeve refers to the smooth chorion that covers the fetal surface of the placenta. The Body Stalk is a structure that connects the early embryo to the trophoblastic pole of the blastocyst.

3. Which of the following is a complication of abortions?

• A. Malnutrition
• B. Peritoneum
• C. Fibroids
• D. Septicaemia

Correct answer: D

Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.

4. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system

• A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
• B. Blood volume and plasma volume decrease, and red blood cells decrease.
• C. No changes occur in the haematological system during pregnancy.
• D. Platelet count remains constant, and no change in coagulation factors.

Correct answer: A

Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.

5. What is the role of relaxin hormone?

• A. Relaxation of the symphysis pubis.
• B. Stimulation of milk production.
• C. Stimulating the development of the nipple and duct system in the breast.
• D. None of the above.

Correct answer: A

Rationale: The correct answer is A: Relaxation of the symphysis pubis. Relaxin hormone is responsible for loosening the ligaments in the pelvic area, particularly the symphysis pubis, to prepare for childbirth. Choice B, stimulation of milk production, is incorrect as this is primarily regulated by prolactin. Choice C, stimulating the development of the nipple and duct system in the breast, is incorrect as this is mainly influenced by estrogen and progesterone during pregnancy. Therefore, the correct role of relaxin hormone is the relaxation of the symphysis pubis.

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