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 GIFT technique is recommended for which of the following females?

• A. Females who cannot produce an ovum
• B. Females who cannot provide a suitable environment for fertilization
• C. Females who cannot retain the embryo inside the uterus
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.

3. What does Integrated Reproductive Health entail?

• A. Women of childbearing age
• B. Women and under-five children only
• C. Men, women, adolescents, youth, and children
• D. Pregnant women only

Correct answer: C

Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.

4. 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.

5. Which of the following data should not be included in the identification data of gynecological history?

• A. Parity
• B. Lost normal menstrual period
• C. EDD (Expected date of delivery)
• D. Last delivery

Correct answer: C

Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.

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