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. What does Informed Consent mean?

• A. A patient has the right to know what a procedure involves before it is performed.
• B. Forcing all patients scheduled for surgery to sign a consent form.
• C. Telling the patient to sign the consent form without explanation.
• D. Allowing patients to undergo procedures without their consent.

Correct answer: A

Rationale: Informed Consent means that a patient has the right to be informed about what a procedure involves before it is performed. Choice B is incorrect because consent should not be forced, and patients should have the opportunity to understand what they are agreeing to. Choice C is incorrect as it goes against the essence of informed consent, which requires explanation. Choice D is incorrect as it contradicts the fundamental principle of requiring patient consent before procedures.

3. What does MTP stand for?

• A. Medical Termination of Parturition
• B. Mechanical Transfer of Pollen
• C. Medical Termination of Pregnancy
• D. Maternally Transmitted Pathogens

Correct answer: C

Rationale: The correct expansion for MTP is Medical Termination of Pregnancy. This term is commonly used in healthcare to refer to the procedure of ending a pregnancy. Choices A, B, and D are incorrect because they do not accurately represent the expansion of the abbreviation MTP. Choice A refers to labor induction, choice B is related to plant reproduction, and choice D deals with the transmission of pathogens from mother to offspring.

4. 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.

5. Expanded access to family planning is facilitated by the use of:

• A. The private sector and social marketing
• B. Community-based programs
• C. Information, Education, and Communication
• D. All of the above

Correct answer: D

Rationale: Expanded access to family planning is achieved through various means, including utilizing the private sector, employing social marketing strategies, implementing community-based programs, and emphasizing Information, Education, and Communication initiatives. Each of the options plays a crucial role in enhancing access to family planning services. Therefore, the correct answer is 'All of the above.' Option A focuses on involving the private sector and social marketing, which are essential components. Option B emphasizes community-based programs, which are another key aspect. Option C highlights the significance of Information, Education, and Communication in promoting family planning. As all these strategies are integral to expanding access to family planning, the most comprehensive answer is 'All of the above.'

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