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. What is the typical measurement of the anterior wall of the vaginal canal?

• A. 10 cm
• B. 11 cm
• C. 11.5 cm
• D. 7.5 cm

Correct answer: D

Rationale: The typical measurement of the anterior wall of the vaginal canal is 7.5 cm. This measurement is anatomically accurate, making choice D the correct answer. Choices A, B, and C provide measurements that are larger than the typical measurement of the anterior wall of the vaginal canal and are therefore incorrect.

3. Which of the following is subsidiary uterine support?

• A. Suspensory ligament
• B. Cardinal ligament
• C. Transcervical ligament
• D. Maklouf ligament

Correct answer: B

Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.

4. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

5. 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.

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