Nursing Elites

1. 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.

2. Septic abortion is characterized by:

• A. Backache.
• B. Os open.
• C. Heavy bleeding.
• D. Maternal pyrexia.

Correct answer: D

Rationale: Septic abortion is characterized by maternal pyrexia. Maternal pyrexia, or fever, is a hallmark sign of septic abortion due to infection. Backache and heavy bleeding can be present in abortion but are not specific to septic abortion. 'Os open' does not directly characterize septic abortion.

3. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

4. Why is it important to involve both men and women in many aspects of the RH program?

• A. Promote responsible and caring attitudes and behavior for the benefit of all
• B. Prevent abuse of pregnant women
• C. Minimize sexually transmitted diseases
• D. Promote love and care among couples

Correct answer: A

Rationale: Involving both men and women in the RH program is crucial to promote responsible and caring attitudes and behavior for the benefit of all. This inclusive approach ensures that diverse perspectives are considered, leading to better outcomes and fostering a sense of shared responsibility. While preventing abuse of pregnant women is important, it is just one aspect of the broader goal of promoting overall well-being. Similarly, minimizing sexually transmitted diseases is crucial but not the sole reason for involving both genders. Promoting love and care among couples is desirable, but the primary focus should be on fostering responsible and caring attitudes for the benefit of all individuals involved in reproductive health programs.

5. What is the most common site for an ectopic pregnancy?

• A. Isthmus
• B. Ampulla
• C. Interstitial
• D. Infundibulum

Correct answer: C

Rationale: The correct answer is C, Interstitial. An ectopic pregnancy most commonly occurs in the interstitial portion of the fallopian tube. This is because the interstitial part is narrow and not suitable for the growing embryo, leading to implantation outside the uterus. Choices A, B, and D are incorrect because although ectopic pregnancies can occur in various locations, the interstitial portion of the fallopian tube is the most frequent site for such pregnancies.

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