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. What is the purpose of Hysterosalpingo-contrast Sonography?

• A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
• B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
• C. Diagnose ovarian cancer using MRI technology.
• D. Detect cancer cells in the cervix.

Correct answer: A

Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.

3. 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.

4. Which female reproductive organ is positioned directly posterior to the bladder?

• A. Uterine tube
• B. Vagina
• C. Uterus
• D. Ovaries

Correct answer: C

Rationale: The correct answer is the uterus. The uterus is positioned directly posterior to the bladder in the female reproductive system. The uterine tube (choice A) is also known as the fallopian tube, which is not positioned directly posterior to the bladder. The vagina (choice B) is located below the uterus and not directly posterior to the bladder. The ovaries (choice D) are located on either side of the uterus, but they are not positioned directly posterior to the bladder.

5. When does threatened abortion occur?

• A. The patient experiences slight vaginal bleeding through an undilated cervix.
• B. The patient experiences heavy bleeding and cervical dilation.
• C. The patient experiences severe cramping and heavy bleeding.
• D. The patient experiences painless bleeding and an open cervix.

Correct answer: A

Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).

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