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. Which phase of the menstrual cycle is variable?

• A. Ovulatory
• B. Regenerative
• C. Secretory
• D. Menstrual

Correct answer: B

Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.

3. The programs aimed at achieving total reproductive health as a social goal at the national level are called:

• A. Family organization
• B. Family planning
• C. Reproductive care
• D. Reproductive health

Correct answer: D

Rationale: The correct answer is D, 'Reproductive health.' Reproductive health programs focus on ensuring overall well-being in relation to reproduction, including access to reproductive services, education, and healthcare. Choice A, 'Family organization,' does not specifically address health aspects related to reproduction. Choice B, 'Family planning,' is more focused on birth control and family size rather than the broader aspects of reproductive health. Choice C, 'Reproductive care,' is limited to the aspect of medical care and does not encompass the comprehensive approach of reproductive health programs.

4. At 8-12 weeks of pregnancy, the breast changes include:

• A. Prickling, tingling sensation.
• B. Nipples become prominent and mobile.
• C. Darkening of the nipple.
• D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

5. During which phase of the menstrual cycle does the Graafian follicle rupture?

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

Correct answer: C

Rationale: The correct answer is C: Ovulation. The Graafian follicle ruptures during the ovulation phase, releasing the mature egg from the ovary. This process marks the midpoint of the menstrual cycle. Choice A, Regenerative, is incorrect as it does not correspond to a specific phase of the menstrual cycle. Choice B, Menstruation, is incorrect because menstruation is the shedding of the uterine lining and occurs after ovulation if fertilization does not occur. Choice D, Proliferative, is incorrect as it refers to the phase in which the uterine lining thickens in preparation for a potential embryo implantation, which happens after ovulation.

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