Nursing Elites

1. How many arteries are there in an umbilical cord?

• A. Three
• B. One
• C. Two
• D. Four

Correct answer: C

Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.

2. 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.

3. Oligomenorrhea is defined as a cycle longer than:

• A. 28 days
• B. 30 days
• C. 35 days
• D. 40 days

Correct answer: C

Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.

4. What is one of the roles of the oxytocin hormone?

• A. Stimulates milk ejection.
• B. Stimulates the production of milk.
• C. Stimulates the development of lactoferrin.
• D. Stimulates the secretion of relaxin.

Correct answer: A

Rationale: The correct answer is A: 'Stimulates milk ejection.' Oxytocin is responsible for contracting the muscles around the milk ducts, pushing milk into the nipples for breastfeeding. This process is known as milk ejection or let-down. The other choices are incorrect because oxytocin's primary function is to facilitate milk ejection rather than directly stimulating the production of milk, the development of lactoferrin, or the secretion of relaxin.

5. What is the reasonable available distance from all patients to offer Primary Health Care (PHC) services?

• A. Within a 20 Km radius
• B. Within a 15 Km radius
• C. Within a 12 Km radius
• D. Within a 10 Km radius

Correct answer: A

Rationale: The correct answer is within a 20 Km radius. Primary Health Care services should be accessible within a 20 Km radius to ensure adequate coverage for all patients. This distance allows for a reasonable reach while ensuring that individuals can access essential healthcare services in a timely manner. Choices B, C, and D are incorrect as they offer distances that may limit accessibility and coverage, potentially leaving some patients without timely access to necessary healthcare.

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