Nursing Elites

1. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

• A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
• B. The heart is displaced downward and to the right, and blood pressure increases.
• C. The cardiovascular system remains unchanged during pregnancy.
• D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

2. Which of the following is NOT a strategy for family planning?

• A. Integrating family planning services with other Reproductive Health programs
• B. Expanding access to family planning through non-public delivery systems
• C. Targeting family planning services to priority groups
• D. Expanding programs of immunization

Correct answer: D

Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.

3. Which of the following methods is used for permanent contraception in males?

• A. Vasectomy
• B. Tubal ligation
• C. Condoms
• D. Coitus interruptus

Correct answer: A

Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.

4. The Wolffian duct is also known as ____________.

• A. Mesonephric duct
• B. Ejaculatory duct
• C. Major sublingual duct
• D. Cystic duct

Correct answer: A

Rationale: The correct answer is A: Mesonephric duct. The Wolffian duct is indeed also known as the mesonephric duct. This duct plays a vital role in the development of the male reproductive system by carrying sperm from the epididymis to the ejaculatory duct. Choice B, Ejaculatory duct, is incorrect as it refers to a different duct responsible for transporting semen from the vas deferens. Choices C and D, Major sublingual duct and Cystic duct, are unrelated to the Wolffian duct and are not correct answers in this context.

5. Which hormone is detected in pregnancy tests?

• A. Estrogen
• B. Progesterone
• C. Luteinizing hormone (LH)
• D. Human chorionic gonadotropin (hCG)

Correct answer: D

Rationale: Human chorionic gonadotropin (hCG) is the hormone detected in pregnancy tests. During pregnancy, the placenta produces hCG, which can be detected in the urine or blood to confirm pregnancy. Estrogen and progesterone are also essential hormones in pregnancy but are not typically used for pregnancy tests. Luteinizing hormone (LH) is involved in the menstrual cycle and ovulation, not pregnancy.

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