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. Complete abortion is characterized by:

• A. Os closed.
• B. Firm contracted uterus.
• C. Heavy bleeding.
• D. Heavy cramping.

Correct answer: A

Rationale: Complete abortion is characterized by a firm contracted uterus with a closed os. This closure of the os indicates that the products of conception have been completely expelled from the uterus. Choices B, C, and D are incorrect because a firm contracted uterus with a closed os is the hallmark sign of a complete abortion, not heavy bleeding, heavy cramping, or any other features.

3. Which of the following is included in a pelvic examination?

• A. Inspection of internal genitalia
• B. Inspection of the cervix and vaginal wall
• C. Palpation of the vagina and vaginal cervix by digital examination
• D. Rectal examination

Correct answer: B

Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.

4. Which hormone is released from the testes?

• A. Progesterone
• B. Vasopressin
• C. Testosterone
• D. None of the above

Correct answer: C

Rationale: The correct answer is testosterone. Testosterone is the primary male sex hormone produced in the testes. Progesterone is a female sex hormone primarily produced in the ovaries, not in the testes. Vasopressin is a hormone released by the pituitary gland to regulate water balance in the body, not produced by the testes. Therefore, choices A, B, and D are incorrect.

5. When does a broad ligament haematoma occur?

• A. Rupture occurs in the mesenteric border of the tube.
• B. Rupture occurs in the ovarian ligament.
• C. Rupture occurs in the broad ligament.
• D. Rupture occurs in the uterine wall.

Correct answer: A

Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.

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