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. A woman is considered to be in menopause if she has experienced the cessation of her menses for a period of:

• A. 6 months
• B. 12 months
• C. 18 months
• D. 24 months

Correct answer: B

Rationale: Menopause is defined as the cessation of menses for 12 months. This period is significant because it indicates the end of a woman's reproductive years. Choices A, C, and D are incorrect as they do not align with the established criteria for defining menopause.

3. At 6-8 weeks of pregnancy, the breast changes include:

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

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

4. 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.

5. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

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