Nursing Elites

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

• A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
• B. Blood volume and plasma volume decrease, and red blood cells decrease.
• C. No changes occur in the haematological system during pregnancy.
• D. Platelet count remains constant, and no change in coagulation factors.

Correct answer: A

Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.

2. To minimize unsafe abortions, IRH has strengthened:

• A. The termination of pregnancy act
• B. The post-abortion care and counseling services
• C. The gender and violence unit of the police services
• D. The empowerment of all women who want to abort

Correct answer: B

Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.

3. What structure lies posterior to the vagina?

• A. Pouch of Douglas
• B. Rectum
• C. Perineal body
• D. Structures of the vulva

Correct answer: B

Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.

4. Each breast is situated on each side of the sternum and extends between the:

• A. 1st and 6th rib
• B. 2nd and 6th rib
• C. 3rd and 6th rib
• D. 4th and 6th rib

Correct answer: B

Rationale: The correct answer is B: 2nd and 6th rib. Each breast is situated between the 2nd and 6th ribs. This anatomical location is important for understanding breast examination techniques and identifying potential abnormalities. Choices A, C, and D are incorrect because the breasts do not extend as far as the 1st, 3rd, or 4th rib, respectively. Understanding the precise anatomical location of structures is crucial in healthcare to ensure accurate assessments and interventions.

5. Treatment for condylomata acuminata includes the following EXCEPT:

• A. Vulvectomy
• B. Podophyllin application
• C. Laser therapy
• D. Electrocautery

Correct answer: A

Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.

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