Nursing Elites

1. Which of the following are layers of endometrium in pregnancy EXCEPT?

• A. Decidua compacta
• B. Decidua spongiosum
• C. Decidua functionalis
• D. Decidua basalis

Correct answer: C

Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.

2. What is a Carneous Mole defined as?

• A. Occurs when fluids drain from the blood mole, leaving a fresh firm mass.
• B. Occurs when the ovum dies and is expelled.
• C. Occurs when the fetus dies, and the membranes rupture.
• D. Occurs when the fetus survives after a failed abortion attempt.

Correct answer: A

Rationale: A Carneous Mole is defined as when fluids drain from the blood mole, leaving a fresh firm mass. This process leads to the formation of a solid mass resembling tissue. Choice B is incorrect as it describes a different concept known as a missed abortion, where the ovum dies and is expelled. Choice C is incorrect as it describes a situation related to fetal demise and membrane rupture, not specifically the formation of a Carneous Mole. Choice D is incorrect as it refers to a scenario where the fetus survives after a failed abortion attempt, which is distinct from the definition of a Carneous Mole.

3. 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.

4. Polymenorrhoea is defined as:

• A. Menstruation that occurs at an interval less than 35 days
• B. Menstruation that occurs at an interval greater than 35 days
• C. Menstruation that occurs at an interval less than 21 days
• D. Menstruation that occurs at an interval greater than 21 days

Correct answer: C

Rationale: Polymenorrhoea is defined as menstruation that occurs at intervals shorter than 21 days. Choice A is incorrect because it describes menstruation at intervals less than 35 days. Choice B is incorrect as it describes menstruation at intervals greater than 35 days. Choice D is incorrect as it describes menstruation at intervals greater than 21 days.

5. What is the content of the acrosome?

• A. Lipids
• B. Hormones
• C. Digestive enzymes
• D. None of the above

Correct answer: C

Rationale: The correct answer is C: Digestive enzymes. The acrosome is a structure found in sperm cells that contains enzymes used to penetrate the egg during fertilization. Choice A (Lipids) and Choice B (Hormones) are incorrect as the primary content of the acrosome is digestive enzymes, not lipids or hormones. Choice D (None of the above) is incorrect as the acrosome does contain a specific substance, which are digestive enzymes.

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