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. Which of the following data should not be included in the identification data of gynecological history?

• A. Parity
• B. Lost normal menstrual period
• C. EDD (Expected date of delivery)
• D. Last delivery

Correct answer: C

Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.

3. Which of the following investigations is done in Pelvic Inflammatory Disease?

• A. Paracentesis
• B. Culdocentesis
• C. Hysterectomy
• D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.

4. Which of the following hormones promotes endometrial growth?

• A. LH
• B. FSH
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.

5. How can menopause affect health?

• A. Causing conjunctivitis
• B. Leading to colitis or bowel upsets
• C. Increasing the risk of cancer
• D. Triggering urinary infections

Correct answer: D

Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.

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