Nursing Elites

1. What is the role of relaxin hormone?

• A. Relaxation of the symphysis pubis.
• B. Stimulation of milk production.
• C. Stimulating the development of the nipple and duct system in the breast.
• D. None of the above.

Correct answer: A

Rationale: The correct answer is A: Relaxation of the symphysis pubis. Relaxin hormone is responsible for loosening the ligaments in the pelvic area, particularly the symphysis pubis, to prepare for childbirth. Choice B, stimulation of milk production, is incorrect as this is primarily regulated by prolactin. Choice C, stimulating the development of the nipple and duct system in the breast, is incorrect as this is mainly influenced by estrogen and progesterone during pregnancy. Therefore, the correct role of relaxin hormone is the relaxation of the symphysis pubis.

2. Inevitable abortion is characterized by:

• A. Heavy bleeding.
• B. Open os.
• C. Severe cramping.
• D. Light bleeding.

Correct answer: B

Rationale: Inevitable abortion is characterized by an open os. This condition is associated with heavy bleeding. While severe cramping can be present in inevitable abortion, the key characteristic is the open os, making choice B the correct answer. Choices A and D are incorrect because they do not specifically describe the defining feature of inevitable abortion, which is the open os.

3. Which of the following is incorrect about oral contraceptive pill 'Saheli'?

• A. It is taken by females
• B. It has very few side effects
• C. It is a steroidal preparation
• D. It is 'Once a week' pill

Correct answer: C

Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.

4. The upper folds of the labia minora surround the clitoris and unite to form the:

• A. Frenulum
• B. Prepuce
• C. Fourchette
• D. Vestibule

Correct answer: B

Rationale: The correct answer is B: Prepuce. The upper folds of the labia minora surround the clitoris and unite to form the prepuce, which is a hood-like structure protecting the clitoris. The frenulum (choice A) is a small fold of tissue under the tongue or upper lip, not related to the female genitalia. The fourchette (choice C) refers to the area where the labia minora meet at the posterior end of the vulva, not involving the clitoris. The vestibule (choice D) is the space between the labia minora containing the vaginal and urethral openings, not directly formed by the upper folds of the labia minora.

5. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

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