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 policy was formally launched to target reducing population growth, making family planning services available, accessible, and affordable to all eligible users?

• A. The reproductive health policy
• B. The ministry of health policy
• C. Gender and health policy
• D. The national population policy

Correct answer: D

Rationale: The correct answer is D, the national population policy. This policy was specifically launched to address population growth by providing access to family planning services. Choices A, B, and C are incorrect because they do not directly focus on population control and family planning services, which are the primary objectives of the national population policy.

3. Where does the ovum receive the sperm?

• A. Animal pole
• B. Vegetal pole
• C. Zona pellucida
• D. None of the above

Correct answer: C

Rationale: The correct answer is C, 'Zona pellucida.' The ovum receives the sperm at the zona pellucida, which is the glycoprotein layer surrounding the plasma membrane of the oocyte. This layer plays a crucial role in preventing polyspermy. Choices A and B, 'Animal pole' and 'Vegetal pole,' are incorrect as they refer to different regions of the egg and are not where the sperm fertilizes the ovum. Choice D, 'None of the above,' is incorrect as the sperm indeed interacts with the zona pellucida during fertilization.

4. Which of the following is not a characteristic of an ideal contraceptive?

• A. Irreversible
• B. Easily available
• C. User-friendly
• D. Effective with least side effects

Correct answer: A

Rationale: The correct answer is A: 'Irreversible.' An ideal contraceptive should not be irreversible because it should allow individuals to have the option to discontinue its use if desired. Choices B, C, and D are characteristics of an ideal contraceptive. Contraceptives should be easily available to ensure widespread accessibility, user-friendly to promote proper and consistent use, and effective with minimal side effects to maximize safety and tolerability.

5. Outlet of the true pelvis anteriorly bounded by:

• A. Ischiopubic arch (T)
• B. Linea terminalis (F)
• C. Coccyx (T)
• D. Promontory of the sacrum (F)

Correct answer: A

Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.

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