Nursing Elites

1. After fertilization, cell division occurs through a process of:

• A. Binary fission
• B. Meiosis
• C. Budding
• D. Mitosis

Correct answer: D

Rationale: After fertilization, the zygote undergoes cell division through the process of mitosis. Mitosis is the type of cell division that results in two daughter cells with the same number of chromosomes as the parent cell. Choice A, binary fission, is a form of asexual reproduction in prokaryotes, not the process that occurs after fertilization in multicellular organisms. Choice B, meiosis, is a type of cell division that leads to the formation of gametes with half the number of chromosomes, not the process that occurs after fertilization. Choice C, budding, is a form of asexual reproduction seen in some organisms like yeast, but it is not the process of cell division after fertilization.

2. What is the purpose of Hysterosalpingo-contrast Sonography?

• A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
• B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
• C. Diagnose ovarian cancer using MRI technology.
• D. Detect cancer cells in the cervix.

Correct answer: A

Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.

3. 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.

4. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

5. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

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