Nursing Elites

1. In Reproductive Health services, decision-making about RH matters is mostly done by:

• A. The Woman's parents
• B. The Man's parents
• C. The Husband
• D. The Wife

Correct answer: C

Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.

2. Which of the following structures is responsible for the production of sperm?

• A. Epididymis
• B. Seminal vesicles
• C. Testes
• D. Prostate gland

Correct answer: C

Rationale: The testes are the male reproductive organs responsible for the production of sperm through a process called spermatogenesis. The epididymis is a structure where sperm mature and are stored temporarily. Seminal vesicles produce a significant portion of the fluid that ultimately becomes semen, but they do not produce sperm. The prostate gland contributes additional fluid to semen but does not produce sperm. Therefore, the correct answer is the testes.

3. What prompted Zambia to implement family planning services?

• A. The nation started to experience the effects of rapid population growth on the economy and individual welfare.
• B. Donors provided free family planning pills.
• C. Mothers were delivering twice a year.
• D. There were too many abortions.

Correct answer: A

Rationale: The correct answer is A. Rapid population growth's impact on the economy and individual welfare prompted Zambia to implement family planning services. This is because a rapidly growing population can strain resources, lead to unemployment, poverty, and inadequate access to healthcare. Choice B is incorrect because the provision of free family planning pills by donors may have been a subsequent intervention rather than the initial reason for implementing family planning services. Choice C is irrelevant as the frequency of deliveries by mothers does not directly relate to the implementation of family planning services. Choice D is also incorrect as high abortion rates may be a consequence of inadequate family planning services rather than the reason for their implementation.

4. What is the function of luteinizing hormone?

• A. Maintains the corpus luteum
• B. Ripens the Graafian follicle
• C. Prepares the breasts for lactation
• D. Produces regrowth of the endometrium

Correct answer: A

Rationale: Luteinizing hormone is responsible for maintaining the corpus luteum after ovulation. This is crucial for the production of progesterone, which helps prepare the endometrium for implantation and supports early pregnancy. Choices B, C, and D are incorrect: B is the function of follicle-stimulating hormone (FSH) which stimulates the growth of ovarian follicles, C is mainly regulated by prolactin, and D is primarily associated with estrogen and progesterone.

5. What is one goal of family planning?

• A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
• B. Limiting couples and individuals to one or two children
• C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
• D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

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