Nursing Elites

1. Discuss the anatomical/physiological changes in pregnancy related to the breasts.

• A. Breast tenderness increases, circulatory supply to the breasts increases, leading to breast enlargement, and colostrum secretion occurs.
• B. Breast tenderness decreases, and there is no significant change in breast size.
• C. Breast changes include decreased tenderness and reduced circulatory supply.
• D. Breasts do not undergo significant changes during pregnancy.

Correct answer: A

Rationale: During pregnancy, the breasts undergo significant anatomical and physiological changes. These changes include increased breast tenderness, an increase in circulatory supply to the breasts, resulting in breast enlargement, and the secretion of colostrum. Choice B is incorrect as breast tenderness actually increases during pregnancy. Choice C is incorrect as the circulatory supply to the breasts increases rather than reduces. Choice D is incorrect as breasts do undergo notable changes during pregnancy.

2. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:

• A. 2 months
• B. 3 months
• C. 4 months
• D. 5 months

Correct answer: C

Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.

3. What is dysmenorrhoea?

• A. Heavy menstruation
• B. Light menstruation
• C. Painful menstruation
• D. Infrequent menstruation

Correct answer: C

Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.

4. What is the content of the acrosome?

• A. Lipids
• B. Hormones
• C. Digestive enzymes
• D. None of the above

Correct answer: C

Rationale: The correct answer is C: Digestive enzymes. The acrosome is a structure found in sperm cells that contains enzymes used to penetrate the egg during fertilization. Choice A (Lipids) and Choice B (Hormones) are incorrect as the primary content of the acrosome is digestive enzymes, not lipids or hormones. Choice D (None of the above) is incorrect as the acrosome does contain a specific substance, which are digestive enzymes.

5. By which name is family planning currently known?

• A. Reproductive and child care
• B. Family and child care
• C. Reproductive and child health
• D. Reproductive and child health care

Correct answer: C

Rationale: Family planning is currently known as Reproductive and Child Health (RCH). It encompasses a broader scope beyond just care, focusing on the overall health aspects related to reproduction and child well-being. Choices A, B, and D are incorrect as they do not accurately reflect the comprehensive nature of family planning under the term Reproductive and Child Health.

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