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. Oligomenorrhea is defined as a cycle longer than:

• A. 28 days
• B. 30 days
• C. 35 days
• D. 40 days

Correct answer: C

Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.

3. What is the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births?

• A. 0.1
• B. 0.2
• C. 0.3
• D. 0.4

Correct answer: D

Rationale: To calculate the estimated percentage of deaths due to unsafe abortions, you divide the number of deaths due to unsafe abortions by the total number of maternal deaths and then multiply by 100 to get the percentage. In this case, with 591 maternal deaths and 40% estimated to be due to unsafe abortions, the calculation is (591 * 0.4) / 100, which equals 2.36. Therefore, the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births is 0.4 or 40%. Choices A, B, and C are incorrect percentages that do not reflect the provided information.

4. What is the most common symptom in all clinical types of abortion EXCEPT:

• A. Lower abdominal pain
• B. Per vaginal bleeding
• C. Show
• D. Backache

Correct answer: C

Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.

5. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

• A. 0.1-0.5
• B. 0.2-0.5
• C. 1.0-2.0
• D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

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