Nursing Elites

1. What are the external organs of the female collectively known as?

• A. Vulva
• B. Frenulum
• C. Mons veneris
• D. Vestibule

Correct answer: A

Rationale: The correct answer is A: Vulva. The external organs of the female reproductive system, including the labia majora, labia minora, clitoris, vaginal opening, and Bartholin's glands, are collectively known as the vulva. Choice B, Frenulum, is incorrect as it refers to a small band of tissue. Choice C, Mons veneris, specifically refers to the rounded mass of fatty tissue located over the pubic bone, not all external female reproductive organs. Choice D, Vestibule, is incorrect as it is the space enclosed by the labia minora that includes the vaginal and urethral openings, not all external female reproductive organs.

2. 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.

3. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:

• A. Oligomenorrhea
• B. Menorrhagia
• C. Metrorrhagia
• D. Polymenorrhea

Correct answer: A

Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.

4. In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

• A. Threatened
• B. Imminent
• C. Missed
• D. Incomplete

Correct answer: C

Rationale: Dark brown vaginal discharge and a negative pregnancy test are characteristic of a missed abortion. In a missed abortion, the fetus has died, but the products of conception are retained in the uterus. This can lead to symptoms like dark brown vaginal discharge as the body tries to expel the nonviable pregnancy. A threatened abortion is characterized by vaginal bleeding without dilation of the cervix, and the pregnancy remains viable. Imminent abortion involves cervical dilation and effacement with no passage of tissue. In an incomplete abortion, only part of the products of conception are expelled, leading to persistent bleeding and cramping.

5. 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.

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