Nursing Elites

1. 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.

2. The follicular phase is to the __________ as the luteal phase is to the secretory phase.

• A. Postovulatory
• B. Menstrual
• C. Proliferative
• D. Ovulatory

Correct answer: C

Rationale: The correct answer is C: Proliferative. The follicular phase corresponds to the proliferative phase during the menstrual cycle, characterized by the development of ovarian follicles. The luteal phase, on the other hand, corresponds to the secretory phase when the endometrium prepares for implantation. Choices A, B, and D are incorrect because they do not accurately reflect the phases being compared in the question.

3. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

4. How can the need to respect clients' rights to informed consent be attained in quality of care?

• A. by providing adequate information and counseling
• B. by forcing all patients scheduled for surgery to sign the consent form
• C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
• D. by simply telling the patient to sign the consent form

Correct answer: A

Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.

5. At 8-12 weeks of pregnancy, the breast changes include:

• A. Prickling, tingling sensation.
• B. Nipples become prominent and mobile.
• C. Darkening of the nipple.
• D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

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