Nursing Elites

1. What does Integrated Reproductive Health entail?

• A. Women of childbearing age
• B. Women and under-five children only
• C. Men, women, adolescents, youth, and children
• D. Pregnant women only

Correct answer: C

Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.

2. What is the area of the uterus where the fallopian tubes are inserted known as?

• A. Fundus
• B. Corpus or body
• C. Cavity
• D. Cornua

Correct answer: D

Rationale: The correct answer is D, Cornua. The cornua refers to the upper, horn-like parts of the uterus where the fallopian tubes are inserted. The fundus (choice A) is the rounded top portion of the uterus, the corpus or body (choice B) is the main part of the uterus excluding the cervix and fundus, and the cavity (choice C) refers to the internal space within the uterus. Therefore, choices A, B, and C are incorrect as they do not specifically denote the area where the fallopian tubes are inserted.

3. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

• A. Threatened abortion
• B. Inevitable abortion
• C. Complete abortion
• D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

4. Total Fertility Rate is at 6.2 births per woman in Zambia. This implies that:

• A. Zambian women will give birth to 6.2 children on average during their childbearing years.
• B. 6.2% of the time she will be pregnant during her childbearing years.
• C. 6.2% of her deliveries will not be successful.
• D. 6.2% of women will require medical intervention to become pregnant.

Correct answer: A

Rationale: A Total Fertility Rate of 6.2 means that a woman will give birth to an average of 6.2 children during her childbearing years. The correct answer is A as it accurately reflects the concept of Total Fertility Rate. Choice B is incorrect as it misinterprets the concept by equating it to a percentage of time being pregnant. Choice C is incorrect as it does not relate to the Total Fertility Rate but rather to the success rate of deliveries. Choice D is incorrect as it introduces the idea of medical intervention, which is not directly related to the Total Fertility Rate.

5. Through which arteries does the blood supply to the external genitalia primarily occur?

• A. Femoral arteries
• B. Inguinal arteries
• C. Pudendal arteries
• D. Internal iliac arteries

Correct answer: C

Rationale: The correct answer is C: Pudendal arteries. The pudendal arteries are responsible for supplying blood to the external genitalia. These arteries specifically provide blood flow to the perineum, including the external genitalia. Choice A, Femoral arteries, are not primarily responsible for supplying blood to the external genitalia. Choice B, Inguinal arteries, do not supply blood directly to the external genitalia. Choice D, Internal iliac arteries, are not the main suppliers of blood to the external genitalia.

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