Nursing Elites

1. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

2. At 16 weeks of pregnancy, the breast changes include:

• A. Montgomery's tubercles are prominent.
• B. Darkening of the nipple.
• C. Prickling, tingling sensation.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

3. During an ectopic pregnancy, what is the likelihood of a rupture in the ampullary portion of the tube?

• A. Frequent
• B. Uncommon
• C. Occasional
• D. Never

Correct answer: A

Rationale: During an ectopic pregnancy, a rupture in the ampullary portion of the tube is frequent. This is due to the increased pressure within the fallopian tube as the embryo grows, leading to the rupture of the tube. Choices B, C, and D are incorrect as they do not accurately describe the common occurrence of rupture in this specific part of the tube during an ectopic pregnancy.

4. What is the role of the progesterone hormone?

• A. Stimulates the development of the nipple and duct system in the breast.
• B. Stimulates the storage of milk.
• C. Stimulates the secretion of relaxin.
• D. Stimulates the development of glandular tissue in the breast.

Correct answer: A

Rationale: The correct answer is A. Progesterone hormone's role includes stimulating the development of the nipple and duct system in the breast. This hormone is crucial for preparing the breast for potential pregnancy by promoting the growth of structures necessary for milk production. Choices B, C, and D are incorrect because progesterone primarily focuses on preparing the breast for lactation rather than directly stimulating milk storage, relaxin secretion, or glandular tissue development.

5. Which one of the following statements is NOT true about menstruation?

• A. The average amount of menstrual flow is 50 to 90 ml.
• B. The menstrual flow constitutes serous fluid, necrotic slough.
• C. The cycle is influenced by the ovarian hormones Estrogen and progesterone.
• D. The menstrual flow has non-clotting blood.

Correct answer: D

Rationale: The correct answer is D. The statement that menstrual flow has non-clotting blood is incorrect because menstrual blood can indeed clot. Choices A, B, and C are all true statements about menstruation. Choice A reflects the average amount of menstrual flow, choice B describes the components of menstrual flow, and choice C correctly identifies the ovarian hormones that influence the menstrual cycle.

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