Nursing Elites

1. Which of the following is included in a pelvic examination?

• A. Inspection of internal genitalia
• B. Inspection of the cervix and vaginal wall
• C. Palpation of the vagina and vaginal cervix by digital examination
• D. Rectal examination

Correct answer: B

Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.

2. 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.

3. The endometrial tissue of the cervix is arranged in folds known as:

• A. Racemose glands
• B. Rugae
• C. Arbor vitae
• D. Peritoneum

Correct answer: B

Rationale: The endometrial tissue of the cervix is arranged in folds known as rugae, not Arbor vitae. Rugae are commonly found in anatomical structures like the stomach and bladder to allow expansion. Choices A, C, and D are incorrect. Racemose glands refer to branched compound glands, Arbor vitae is the tree-like appearance of the cerebellum, and Peritoneum is the serous membrane lining the abdominal cavity.

4. Menopausal women require a diet rich in calcium to prevent osteoporosis. Which one of the following is a source of calcium?

• A. Spinach
• B. Cabbage
• C. Carrots
• D. Rape

Correct answer: A

Rationale: Corrected Rationale: Spinach is a good source of calcium, which is crucial for preventing osteoporosis in menopausal women. Spinach is a leafy green vegetable high in calcium content. While cabbage, carrots, and rape are nutritious, they do not provide as much calcium as spinach does. Therefore, spinach is the correct choice for menopausal women looking to increase their calcium intake.

5. 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.

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