Nursing Elites

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

• A. Kidneys increase in size, pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases.
• B. Kidneys decrease in size, and glomerular filtration rate decreases.
• C. There is no change in kidney size or ureter function, but the glomerular filtration rate decreases.
• D. Kidneys shrink, and ureters remain the same.

Correct answer: A

Rationale: During pregnancy, the kidneys increase in size, the pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases. This is due to the increased metabolic demands and hormonal changes during pregnancy. Choice B is incorrect as the kidneys do not decrease in size, and the glomerular filtration rate actually increases. Choice C is incorrect as there are changes in kidney size and ureter function during pregnancy. Choice D is incorrect as the kidneys do not shrink during pregnancy.

2. During the menstrual cycle, which hormone maintains the corpus luteum?

• A. Luteinizing hormone
• B. Follicle-stimulating hormone
• C. Progesterone
• D. Relaxin

Correct answer: A

Rationale: During the menstrual cycle, luteinizing hormone maintains the corpus luteum. The correct answer is A. Luteinizing hormone stimulates the corpus luteum to produce progesterone. Choice B, Follicle-stimulating hormone, is involved in stimulating the growth of follicles in the ovaries. Choice C, Progesterone, is produced by the corpus luteum and plays a role in preparing the endometrium for implantation. Choice D, Relaxin, is involved in processes such as softening the cervix and ligaments during pregnancy, but it is not responsible for maintaining the corpus luteum.

3. Which of the following is not a role of Reproductive and Child Health Care (RCH) programs?

• A. Awareness about reproductive health
• B. Providing facilities to build a reproductively healthy society
• C. Providing support to reproductively sick people
• D. Promoting abortion

Correct answer: D

Rationale: The correct answer is D. Promoting abortion is not a role of the Reproductive and Child Health Care (RCH) programs. RCH programs focus on promoting awareness about reproductive health, providing facilities to build a reproductively healthy society, and offering support to reproductively sick individuals. The promotion of abortion is not within the scope of RCH programs, which aim to improve maternal and child health outcomes through education, healthcare services, and support systems.

4. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

• A. 0.1-0.5
• B. 0.2-0.5
• C. 1.0-2.0
• D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

5. After fertilization, cell division occurs through a process of:

• A. Binary fission
• B. Meiosis
• C. Budding
• D. Mitosis

Correct answer: D

Rationale: After fertilization, the zygote undergoes cell division through the process of mitosis. Mitosis is the type of cell division that results in two daughter cells with the same number of chromosomes as the parent cell. Choice A, binary fission, is a form of asexual reproduction in prokaryotes, not the process that occurs after fertilization in multicellular organisms. Choice B, meiosis, is a type of cell division that leads to the formation of gametes with half the number of chromosomes, not the process that occurs after fertilization. Choice C, budding, is a form of asexual reproduction seen in some organisms like yeast, but it is not the process of cell division after fertilization.

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