Nursing Elites

1. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:

• A. Oligomenorrhea
• B. Menorrhagia
• C. Metrorrhagia
• D. Polymenorrhea

Correct answer: A

Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.

2. Which technique is used to detect HIV/AIDS?

• A. Northern blot and ELISA
• B. Immunoblot and ELISA
• C. Western blot and ELISA
• D. Southern blot and ELISA

Correct answer: C

Rationale: The correct answer is C: Western blot and ELISA. Western blot and ELISA are commonly used techniques in the detection of HIV/AIDS. Western blot is used to confirm the presence of HIV antibodies in a patient's blood after an initial positive ELISA test. Northern blotting is a technique used for RNA analysis, not for detecting HIV/AIDS (Choice A). Immunoblotting is another term for Western blotting, so Choice B is incorrect. Southern blotting is used for DNA analysis, not for detecting HIV/AIDS (Choice D).

3. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

• A. The posterior vaginal wall
• B. The anterior vaginal wall
• C. The abdominal wall
• D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.

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. What does the umbilical cord contain?

• A. Pluripotent stem cells
• B. Cord blood stem cells
• C. Blood stem cells
• D. None of the above

Correct answer: B

Rationale: The correct answer is B: Cord blood stem cells. The umbilical cord contains stem cells that are found in cord blood, known as cord blood stem cells. These stem cells have the potential to develop into various types of cells and are used in medical treatments. Pluripotent stem cells are typically found in embryos and have the ability to develop into any type of cell in the body, not specifically in the umbilical cord. Choice C, blood stem cells, is a vague term that does not specifically refer to the stem cells found in the umbilical cord. Choice D is incorrect as the umbilical cord does contain cord blood stem cells.

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