Nursing Elites

1. Where does fertilization normally occur?

• A. Ampulla
• B. Interstitial portion
• C. Isthmus
• D. Infundibulum

Correct answer: A

Rationale: Fertilization typically occurs in the ampulla of the fallopian tube. The ampulla provides the ideal environment for fertilization due to the presence of cilia that help transport the egg and sperm, as well as the nourishing fluid within this region. The interstitial portion, isthmus, and infundibulum of the fallopian tube are not the primary sites for fertilization. The interstitial portion connects the fallopian tube to the uterine cavity, the isthmus is the narrowest part near the uterus, and the infundibulum is the funnel-shaped end near the ovary, where the egg is captured after ovulation.

2. Which part of the female reproductive system remains blocked after tubectomy?

• A. Fallopian tube
• B. Cervix
• C. Uterine cavity
• D. None

Correct answer: A

Rationale: After a tubectomy procedure, the Fallopian tube remains blocked. This is the correct answer because tubectomy involves the surgical blocking or sealing of the Fallopian tubes to prevent eggs from reaching the uterus, thus preventing pregnancy. Choice B, the cervix, is incorrect as it is not blocked during a tubectomy. Choice C, the uterine cavity, is also incorrect as the procedure does not involve blocking this part of the reproductive system. Choice D, none, is incorrect as the purpose of tubectomy is to block the Fallopian tubes.

3. 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.

4. Which hormone regulates the production of milk after childbirth?

• A. Prolactin
• B. Oxytocin
• C. Estrogen
• D. Progesterone

Correct answer: A

Rationale: The correct answer is Prolactin. Prolactin is the hormone responsible for regulating the production of milk after childbirth. It stimulates the mammary glands in the breasts to produce milk. Oxytocin, on the other hand, is responsible for the ejection of milk from the breasts. Estrogen and progesterone play roles in the menstrual cycle and pregnancy but are not directly involved in milk production. Therefore, choices B, C, and D are incorrect.

5. Laparoscopy uses a small instrument known as a laparoscope to:

• A. Take very detailed photographs
• B. Insert a hysteroscope for D&C
• C. Perform an abortion procedure
• D. Perform a hysterectomy

Correct answer: A

Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.

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