Nursing Elites

1. When does threatened abortion occur?

• A. The patient experiences slight vaginal bleeding through an undilated cervix.
• B. The patient experiences heavy bleeding and cervical dilation.
• C. The patient experiences severe cramping and heavy bleeding.
• D. The patient experiences painless bleeding and an open cervix.

Correct answer: A

Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).

2. In missed abortion, what will the woman often experience?

• A. Severe cramping and lower abdominal pains
• B. Brownish vaginal discharge
• C. Profuse per vagina bleeding
• D. Open cervical OS

Correct answer: B

Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.

3. Which of the following is a complication of abortions?

• A. Malnutrition
• B. Peritoneum
• C. Fibroids
• D. Septicaemia

Correct answer: D

Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.

4. What does confidentiality in reproductive health services mean?

• A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
• B. Sharing patient information with all healthcare staff.
• C. Sharing patient information with their family members.
• D. Allowing patient information to be discussed in public areas.

Correct answer: A

Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.

5. Which of the following are outcomes of an ectopic pregnancy EXCEPT?

• A. Tubal abortion
• B. Tubal rupture
• C. Intra-tubal bleeding
• D. Secondary abdominal pregnancy

Correct answer: D

Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.

Similar Questions