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. In missed abortion, what will the woman often experience?

• A. Severe cramping and lower abdominal pains
• B. Brownish vaginal discharge
• C. Profuse per vagina bleeding
• D. Open cervical OS

Correct answer: B

Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.

3. What does Integrated Reproductive Health entail?

• A. Women of childbearing age
• B. Women and under-five children only
• C. Men, women, adolescents, youth, and children
• D. Pregnant women only

Correct answer: C

Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.

4. 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.

5. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:

• A. Menorrhagia
• B. Metrorrhagia
• C. Polymenorrhoea
• D. Epimenorrhoea

Correct answer: B

Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.

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