Nursing Elites

1. Expanded access to family planning through non-public delivery systems is facilitated by all of the following EXCEPT:

• A. By using the private sector and social marketing
• B. Community-based programs
• C. Information, Education, and Communication
• D. Key persons in the community

Correct answer: D

Rationale: Expanded access to family planning through non-public delivery systems involves utilizing various strategies to reach more people. Options A, B, and C are all effective methods for expanding access to family planning services. The involvement of key persons in the community is not a typical approach for non-public delivery systems. Key persons in the community may have influence but may not be directly involved in the delivery of family planning services, making option D the correct answer.

2. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

• A. The posterior vaginal wall
• B. The anterior vaginal wall
• C. The abdominal wall
• D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.

3. What is the leading cause of maternal mortality?

• A. Pre-eclampsia
• B. Haemorrhage
• C. Sepsis
• D. Obstructed labour

Correct answer: B

Rationale: The correct answer is B: Haemorrhage. Haemorrhage is a leading cause of maternal mortality due to excessive bleeding during childbirth. While conditions like pre-eclampsia, sepsis, and obstructed labor can also be serious complications during pregnancy and childbirth, they are not the primary cause of maternal mortality worldwide.

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. Which family planning method was alternatively provided by the family life movement?

• A. Use of condom
• B. Use of spermicides
• C. Use of natural family planning
• D. Use of hormonal pills

Correct answer: C

Rationale: The family life movement promoted natural family planning as an alternative method. Natural family planning involves tracking a woman's menstrual cycle to determine the fertile period, making it distinct from the other options provided. Condoms (Choice A) and spermicides (Choice B) are barrier methods, while hormonal pills (Choice D) involve the use of synthetic hormones to prevent pregnancy. Therefore, the correct answer is the use of natural family planning.

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