Nursing Elites

1. What are the Carunculae Myrtiformes?

• A. Tissues between the vagina and the perineum
• B. A component of the clitoral prepuce
• C. The remnants of the torn hymen
• D. Structures that partially close the vaginal introitus

Correct answer: C

Rationale: The Carunculae Myrtiformes are the remnants of the torn hymen. They are not tissues between the vagina and the perineum (Choice A), a part of the clitoral prepuce (Choice B), or structures that partially close the vaginal introitus (Choice D). Understanding the anatomy of the female reproductive system is crucial for healthcare professionals to provide accurate care and information.

2. What term is used to refer to the fertilized ovum?

• A. Zygote
• B. Embryo
• C. Foetus
• D. Pregnancy

Correct answer: A

Rationale: The correct answer is A, Zygote. A zygote is formed when a sperm cell fertilizes an egg cell. It is the initial stage of prenatal development. Choice B, Embryo, refers to the stage of prenatal development after the zygote and before the foetus. Choice C, Foetus, is the stage of prenatal development after the embryo. Choice D, Pregnancy, is a broader term referring to the condition of having a developing baby in the uterus.

3. At 8-12 weeks of pregnancy, the breast changes include:

• A. Prickling, tingling sensation.
• B. Nipples become prominent and mobile.
• C. Darkening of the nipple.
• D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

4. At 16 weeks of pregnancy, the breast changes include:

• A. Montgomery's tubercles are prominent.
• B. Darkening of the nipple.
• C. Prickling, tingling sensation.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

5. At 34-40 weeks of pregnancy, the breast changes include:

• A. Nipples become prominent and mobile.
• B. Colostrum can be expressed.
• C. Breasts become tender.
• D. Montgomery's tubercles are prominent.

Correct answer: D

Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.

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