Nursing Elites

1. Which of the following investigations is done in Pelvic Inflammatory Disease?

• A. Paracentesis
• B. Culdocentesis
• C. Hysterectomy
• D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.

2. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:

• A. Oophoritis
• B. Endometritis
• C. Salpingectomy
• D. Salpingitis

Correct answer: D

Rationale: Pelvic Inflammatory Disease (PID) is known to affect the fallopian tubes, leading to inflammation, which is termed as salpingitis. Choice A, Oophoritis, refers to inflammation of the ovaries, not the fallopian tubes. Choice B, Endometritis, is inflammation of the endometrium, the inner lining of the uterus, not the fallopian tubes. Choice C, Salpingectomy, is a surgical procedure to remove a fallopian tube and is not a condition caused by PID.

3. In the past, when was a woman only allowed to access Family planning methods?

• A. when she was married
• B. when she had more than four children
• C. when she produced a letter of consent from the husband
• D. when the doctors recommended

Correct answer: C

Rationale: In the past, women were often required to produce a letter of consent from their husband to access family planning services. This requirement stemmed from traditional beliefs and societal norms that placed men in control of such decisions. Choice A is incorrect because marital status alone did not determine access to family planning. Choice B is incorrect because the number of children a woman had did not dictate her access to family planning. Choice D is incorrect because medical recommendations alone did not influence a woman's access to family planning services in the past.

4. What is the purpose of Hysterosalpingo-contrast Sonography?

• A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
• B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
• C. Diagnose ovarian cancer using MRI technology.
• D. Detect cancer cells in the cervix.

Correct answer: A

Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.

5. Lactational Amenorrhoea Method (LAM) is best for:

• A. Clients who do not wish to have any more children
• B. Clients with a baby less than 6 months postpartum
• C. Clients who want to wait before having a first or another child
• D. Clients with several sexual partners

Correct answer: B

Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.

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