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. Which of the following methods is used for permanent contraception in males?

• A. Vasectomy
• B. Tubal ligation
• C. Condoms
• D. Coitus interruptus

Correct answer: A

Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.

3. To minimize unsafe abortions, IRH has strengthened:

• A. The termination of pregnancy act
• B. The post-abortion care and counseling services
• C. The gender and violence unit of the police services
• D. The empowerment of all women who want to abort

Correct answer: B

Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.

4. What structure lies posterior to the vagina?

• A. Pouch of Douglas
• B. Rectum
• C. Perineal body
• D. Structures of the vulva

Correct answer: B

Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.

5. Which of the following is not a complication of menopause?

• A. Fractures
• B. Alzheimer's disease
• C. Congestive heart failure
• D. Painful intercourse

Correct answer: C

Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes, and painful intercourse due to vaginal dryness and thinning of tissues. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication associated with menopause.

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