Nursing Elites

1. Which of the following are layers of the anterior abdominal wall?

• A. Linear albicantes
• B. Superficial fascia
• C. Visceral peritoneum
• D. Fascia transversalis

Correct answer: A

Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.

2. Which of the following is subsidiary uterine support?

• A. Suspensory ligament
• B. Cardinal ligament
• C. Transcervical ligament
• D. Maklouf ligament

Correct answer: B

Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.

3. Which of the following hormones promotes endometrial growth?

• A. LH
• B. FSH
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.

4. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

• A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
• B. The heart is displaced downward and to the right, and blood pressure increases.
• C. The cardiovascular system remains unchanged during pregnancy.
• D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

5. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?

• A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
• B. Pink mucosa with multiple small, fluid-filled protrusions
• C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
• D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os

Correct answer: C

Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.

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