Nursing Elites

1. To ensure the provision of appropriate services for overcoming infertility barriers to the achievement of reproductive intentions, Integrated Reproductive Health has incorporated a component of:

• A. Infertility
• B. Safe abortions
• C. STIs and HIV
• D. Family Planning

Correct answer: A

Rationale: The correct answer is A: Infertility. Integrated Reproductive Health incorporates a component focused on infertility to address barriers to achieving reproductive intentions. This inclusion is crucial as infertility can be a significant obstacle to reproductive health. Choice B, safe abortions, is incorrect as it is not directly related to overcoming infertility barriers. Choice C, STIs and HIV, while important for reproductive health, is not specifically addressing infertility. Choice D, family planning, although relevant for reproductive health, is not the primary focus when addressing infertility barriers.

2. Treatment for condylomata acuminata includes the following EXCEPT:

• A. Vulvectomy
• B. Podophyllin application
• C. Laser therapy
• D. Electrocautery

Correct answer: A

Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.

3. 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.

4. What is an organelle that helps the sperm to penetrate the ovum?

• A. Acrosome
• B. Zona pellucida
• C. Megalis
• D. None of the above

Correct answer: A

Rationale: The correct answer is Acrosome. The acrosome is an organelle located at the head of a sperm cell and contains enzymes that aid in the penetration of the ovum during fertilization. The Zona pellucida is a glycoprotein membrane surrounding the ovum, not an organelle. Megalis is not a relevant organelle in this context. Therefore, the correct choice is A, Acrosome.

5. 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.

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