Nursing Elites

1. 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.

2. What is a cord inserted to the very edge of the placenta known as?

• A. Battledore insertion
• B. Placenta velamentosa
• C. Placenta accreta
• D. Vasa Praevia

Correct answer: A

Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.

3. The structures of the vulva lie ____________ to the vagina.

• A. Posterior
• B. Inferior
• C. Lateral
• D. Superior

Correct answer: B

Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.

4. Which component of reproductive health ensures the provision of quality reproductive health services at all levels of the health care system?

• A. Safe motherhood
• B. Adolescent health and development
• C. Health service delivery
• D. Reproductive health information

Correct answer: C

Rationale: Health service delivery is the component of reproductive health that specifically focuses on ensuring the provision of quality reproductive health services at all levels of the healthcare system. While safe motherhood and adolescent health are important aspects of reproductive health, they do not directly address the quality of health services delivery. Reproductive health information, although crucial, is not the component responsible for ensuring the quality of services provided.

5. What should be included in the differential diagnosis of ectopic pregnancy?

• A. Inevitable abortion
• B. Dysmenorrhea
• C. Twisted ovarian cyst
• D. Fibroids

Correct answer: C

Rationale: In the differential diagnosis of ectopic pregnancy, conditions such as twisted ovarian cysts should be considered. Twisted ovarian cysts can present with similar symptoms to ectopic pregnancy, making it important to include them in the differential diagnosis. Choices A, B, and D are not typically part of the differential diagnosis of ectopic pregnancy. Inevitable abortion refers to an imminent miscarriage, dysmenorrhea is characterized by painful menstruation, and fibroids are benign growths in the uterus, none of which are directly related to ectopic pregnancy.

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