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. Which of the following Leopold maneuvers assesses the fetal lie?

• A. Fundal grip
• B. Umbilical grip
• C. Pawlick grip
• D. Pelvic grip

Correct answer: A

Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.

3. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

4. What is dysmenorrhoea?

• A. Heavy menstruation
• B. Light menstruation
• C. Painful menstruation
• D. Infrequent menstruation

Correct answer: C

Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.

5. What is included in the Quality of Care in reproductive health?

• A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
• B. Providing reproductive health services only in urban areas.
• C. Ensuring that all women deliver in a hospital setting.
• D. Ensuring that reproductive health services are only provided by doctors.

Correct answer: A

Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.

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