Nursing Elites

1. What does Community Participation in reproductive health mean?

• A. Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs.
• B. Providing health services only to women of reproductive age.
• C. Providing reproductive health services without community involvement.
• D. Providing reproductive health services to the entire population without exceptions.

Correct answer: A

Rationale: The correct answer is A: Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs. Community participation in reproductive health involves involving the community in planning, implementing, and evaluating programs to ensure they meet the needs and are sustainable. Choice B is incorrect because community participation is not limited to only women of reproductive age but involves the entire community. Choice C is incorrect as it emphasizes providing services without community involvement, which goes against the principles of community participation. Choice D is incorrect because community participation focuses on involving the community rather than providing services to the entire population without exceptions.

2. Cryptorchidism is a condition where _________.

• A. One or both testes are not developed
• B. One or both testes fail to descend into the scrotum
• C. One or both testes are not formed
• D. None of the above

Correct answer: B

Rationale: Cryptorchidism is a condition where one or both testes fail to descend into the scrotum. This means that the testes do not properly move from the abdomen into the scrotum during fetal development. Choice A is incorrect because the issue is not about development but descent. Choice C is incorrect as it implies that the testes were never formed, which is not the case in cryptorchidism. Choice D is incorrect as cryptorchidism does involve the testes but rather their descent into the scrotum.

3. At 16 weeks of pregnancy, the breast changes include:

• A. Montgomery's tubercles are prominent.
• B. Darkening of the nipple.
• C. Prickling, tingling sensation.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

4. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

5. 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.

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