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. Which of the following is a symptom of menopause?

• A. Bleeding per vagina
• B. Sleeping all the time
• C. Insomnia
• D. Increased concentration

Correct answer: C

Rationale: Insomnia is a common symptom of menopause. During menopause, hormonal changes can lead to sleep disturbances, including difficulty falling asleep or staying asleep. Choice A, 'Bleeding per vagina,' is not a typical symptom of menopause but should prompt further evaluation. Choice B, 'Sleeping all the time,' is not a common symptom of menopause; in fact, insomnia, rather than excessive sleep, is more prevalent. Choice D, 'Increased concentration,' is not a symptom of menopause; cognitive changes like forgetfulness or difficulty concentrating may occur, but increased concentration is not a typical manifestation.

3. Appropriate Technologies and Skills:

• A. Must be selected according to universal standards
• B. Involves ensuring the woman delivers at the hospital
• C. Requires specific qualifications such as being a nurse
• D. Necessitates the presence of a doctor at the service providing facility

Correct answer: A

Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.

4. How can the concept of Integrated Reproductive Health be strengthened?

• A. Through advocacy and IEC
• B. Through community participation
• C. Through radio messages
• D. Through family planning

Correct answer: A

Rationale: The correct answer is A: Through advocacy and IEC. Advocacy and Information, Education, Communication (IEC) campaigns are crucial in strengthening the concept of Integrated Reproductive Health. These efforts help raise awareness, educate the community, and promote positive health behaviors. Choice B, community participation, though important, is not as direct in strengthening the concept as advocacy and IEC. Choice C, radio messages, can be a part of IEC campaigns but alone may not be as effective in strengthening the concept. Choice D, family planning, is a component of Integrated Reproductive Health but is not the most comprehensive approach to strengthening the concept.

5. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?

• A. A carneous mole.
• B. A hydatidiform mole.
• C. A vesicular mole.
• D. A chorionic mole.

Correct answer: A

Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.

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