Nursing Elites

1. Total Fertility Rate is at 6.2 births per woman in Zambia. This implies that:

• A. Zambian women will give birth to 6.2 children on average during their childbearing years.
• B. 6.2% of the time she will be pregnant during her childbearing years.
• C. 6.2% of her deliveries will not be successful.
• D. 6.2% of women will require medical intervention to become pregnant.

Correct answer: A

Rationale: A Total Fertility Rate of 6.2 means that a woman will give birth to an average of 6.2 children during her childbearing years. The correct answer is A as it accurately reflects the concept of Total Fertility Rate. Choice B is incorrect as it misinterprets the concept by equating it to a percentage of time being pregnant. Choice C is incorrect as it does not relate to the Total Fertility Rate but rather to the success rate of deliveries. Choice D is incorrect as it introduces the idea of medical intervention, which is not directly related to the Total Fertility Rate.

2. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

• A. The posterior vaginal wall
• B. The anterior vaginal wall
• C. The abdominal wall
• D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.

3. What is one goal of family planning?

• A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
• B. Limiting couples and individuals to one or two children
• C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
• D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

4. Legislation allowing nursing staff to provide contraceptives has resulted in all of the following EXCEPT:

• A. More nursing staff have been trained to provide family planning services
• B. Many population and family planning organizations have emerged
• C. Enhanced implementation of population and family planning programs
• D. Male involvement in family planning services

Correct answer: D

Rationale: The correct answer is D. Male involvement in family planning services has not significantly resulted from legislation allowing nursing staff to provide contraceptives. While legislation has led to more nursing staff being trained, the emergence of population and family planning organizations, and enhanced implementation of programs, it has not directly impacted male involvement in family planning.

5. What lines the uterus?

• A. Endometrium.
• B. Myometrium.
• C. Perimetrium.
• D. Glandular tissue.

Correct answer: A

Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.

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