Nursing Elites

1. Respect in reproductive health care involves:

• A. Talking to patients politely and managing their care compassionately and non-judgmentally.
• B. Ensuring that all patients sign a consent form.
• C. Ignoring patient requests for privacy.
• D. Disregarding patient concerns during care.

Correct answer: A

Rationale: Respect in reproductive health care entails treating patients with politeness, compassion, and without judgment. Choice A is the correct answer as it aligns with the principles of respect and patient-centered care. It is essential to communicate respectfully, show compassion, and address patients' needs without passing judgment. Choices B, C, and D are incorrect. Ensuring consent through a form is important but not the sole aspect of respect. Ignoring patient requests for privacy goes against patient rights, and disregarding patient concerns is contrary to providing comprehensive care.

2. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus

• A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
• B. The uterus decreases in size during pregnancy and remains rigid.
• C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
• D. Uterus becomes more rigid and hypertrophies.

Correct answer: A

Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.

3. What is the most important factor in ensuring accessibility in reproductive health services?

• A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
• B. Requiring patients to access multiple services to get the care they need.
• C. Providing reproductive health services only to those who can afford it.
• D. Providing health services only in urban areas.

Correct answer: A

Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.

4. Which of the following is a complication of abortions?

• A. Malnutrition
• B. Peritoneum
• C. Fibroids
• D. Septicaemia

Correct answer: D

Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.

5. What is the content of the acrosome?

• A. Lipids
• B. Hormones
• C. Digestive enzymes
• D. None of the above

Correct answer: C

Rationale: The correct answer is C: Digestive enzymes. The acrosome is a structure found in sperm cells that contains enzymes used to penetrate the egg during fertilization. Choice A (Lipids) and Choice B (Hormones) are incorrect as the primary content of the acrosome is digestive enzymes, not lipids or hormones. Choice D (None of the above) is incorrect as the acrosome does contain a specific substance, which are digestive enzymes.

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