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. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

3. 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.

4. 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.

5. A woman is considered to be in menopause if she has experienced the cessation of her menses for a period of:

• A. 6 months
• B. 12 months
• C. 18 months
• D. 24 months

Correct answer: B

Rationale: Menopause is defined as the cessation of menses for 12 months. This period is significant because it indicates the end of a woman's reproductive years. Choices A, C, and D are incorrect as they do not align with the established criteria for defining menopause.

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