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. The Gravindex test is used to detect Human Chorionic Gonadotrophic hormone (HCG) in:

• A. Urine or whole blood
• B. Amniotic fluid
• C. Saliva
• D. Cervical mucus

Correct answer: A

Rationale: The correct answer is A: Urine or whole blood. The Gravindex test is designed to detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood samples. HCG is a hormone produced during pregnancy, and its presence in urine or blood can indicate pregnancy. Choices B, C, and D are incorrect as the Gravindex test is not intended to detect HCG in amniotic fluid, saliva, or cervical mucus. These bodily fluids are not typically used for pregnancy testing purposes.

3. What is one goal of family planning?

• A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
• B. Limiting couples and individuals to one or two children
• C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
• D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

4. According to the Medical Termination of Pregnancy (MTP) Act, 1971, how many weeks of pregnancy is Medical Termination of Pregnancy considered safe up to?

• A. 8 Weeks
• B. 12 Weeks
• C. 18 Weeks
• D. 6 Weeks

Correct answer: B

Rationale: According to the Medical Termination of Pregnancy (MTP) Act, 1971, Medical Termination of Pregnancy is considered safe up to 12 weeks of pregnancy. This timeframe is crucial to ensure the safety and well-being of the individual undergoing the procedure. Choices A, C, and D are incorrect because they do not align with the legal provisions outlined in the MTP Act, 1971.

5. Which component of reproductive health ensures the provision of quality reproductive health services at all levels of the health care system?

• A. Safe motherhood
• B. Adolescent health and development
• C. Health service delivery
• D. Reproductive health information

Correct answer: C

Rationale: Health service delivery is the component of reproductive health that specifically focuses on ensuring the provision of quality reproductive health services at all levels of the healthcare system. While safe motherhood and adolescent health are important aspects of reproductive health, they do not directly address the quality of health services delivery. Reproductive health information, although crucial, is not the component responsible for ensuring the quality of services provided.

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