Nursing Elites

1. How can the concept of Integrated Reproductive Health be strengthened?

• A. Through advocacy and IEC
• B. Through community participation
• C. Through radio messages
• D. Through family planning

Correct answer: A

Rationale: The correct answer is A: Through advocacy and IEC. Advocacy and Information, Education, Communication (IEC) campaigns are crucial in strengthening the concept of Integrated Reproductive Health. These efforts help raise awareness, educate the community, and promote positive health behaviors. Choice B, community participation, though important, is not as direct in strengthening the concept as advocacy and IEC. Choice C, radio messages, can be a part of IEC campaigns but alone may not be as effective in strengthening the concept. Choice D, family planning, is a component of Integrated Reproductive Health but is not the most comprehensive approach to strengthening the concept.

2. What structure lies posterior to the vagina?

• A. Pouch of Douglas
• B. Rectum
• C. Perineal body
• D. Structures of the vulva

Correct answer: B

Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.

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. Approximately how many primordial follicles are present in the cortex of the ovary at birth?

• A. 250,000
• B. 200,000
• C. 150,000
• D. 100,000

Correct answer: A

Rationale: The correct answer is A: 250,000. At birth, there are approximately 250,000 primordial follicles in the cortex of each ovary. These primordial follicles represent the reserve of oocytes that a female will have throughout her reproductive life. Choice B, 200,000, is incorrect as the number is higher. Choices C and D, 150,000 and 100,000 respectively, are also incorrect as they underestimate the actual number of primordial follicles present at birth.

5. Which of the following structures is responsible for the production of sperm?

• A. Epididymis
• B. Seminal vesicles
• C. Testes
• D. Prostate gland

Correct answer: C

Rationale: The testes are the male reproductive organs responsible for the production of sperm through a process called spermatogenesis. The epididymis is a structure where sperm mature and are stored temporarily. Seminal vesicles produce a significant portion of the fluid that ultimately becomes semen, but they do not produce sperm. The prostate gland contributes additional fluid to semen but does not produce sperm. Therefore, the correct answer is the testes.

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