Nursing Elites

1. Inevitable abortion occurs when:

• A. The ovum dies in utero and the decidua capsularis remains intact.
• B. The cervix is open, and the products of conception are about to be expelled.
• C. The products of conception are expelled before the 20th week of gestation.
• D. The fetus dies and is expelled in the first trimester.

Correct answer: B

Rationale: Inevitable abortion occurs when the cervix is open, and the products of conception are about to be expelled. This is a critical point in the process of spontaneous abortion, indicating that expulsion of the products of conception is imminent. Choice A is incorrect as it describes a missed abortion where the ovum dies but the decidua capsularis remains intact. Choice C is incorrect as it describes an incomplete abortion where the products of conception are expelled before the completion of 20 weeks of gestation. Choice D is incorrect as it describes a missed abortion where the fetus dies and is expelled in the first trimester.

2. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

3. The products of conception are retained in which of the following?

• A. Complete abortions
• B. Incomplete abortions
• C. Threatened abortion
• D. Mixed abortion

Correct answer: B

Rationale: In incomplete abortions, the products of conception are retained. In a complete abortion, all the products of conception are expelled from the uterus. Threatened abortion refers to a situation where there is vaginal bleeding but the cervix remains closed, and it does not necessarily involve retention of products of conception. Mixed abortion is not a recognized medical term related to retained products of conception.

4. Which of the following investigations is done in Pelvic Inflammatory Disease?

• A. Paracentesis
• B. Culdocentesis
• C. Hysterectomy
• D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.

5. The menstrual disorder in which there is an absence or suppression of the normal menstrual period is called:

• A. Dysmenorrhoea
• B. Polymenorrhoea
• C. Menorrhagia
• D. Amenorrhoea

Correct answer: D

Rationale: Amenorrhoea is the correct term for the absence or suppression of the menstrual period. Dysmenorrhoea refers to painful menstruation, Polymenorrhoea is characterized by frequent, short menstrual cycles, and Menorrhagia is excessive menstrual bleeding. Therefore, 'Amenorrhoea' is the most appropriate term for the described menstrual disorder.

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