Nursing Elites

1. Which structure maintains the uterus in an anteverted and anteflexed position?

• A. Round ligaments
• B. Broad ligaments
• C. Cardinal ligaments
• D. Pubocervical ligaments

Correct answer: A

Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.

2. Which of the following methods is used for permanent contraception in males?

• A. Vasectomy
• B. Tubal ligation
• C. Condoms
• D. Coitus interruptus

Correct answer: A

Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.

3. Which of the following is not a barrier method of birth control?

• A. Vaults
• B. Diaphragms
• C. Sterilization
• D. Cervical caps

Correct answer: C

Rationale: The correct answer is C, Sterilization. Sterilization is a permanent form of birth control that involves surgical procedures to prevent pregnancy by blocking the fallopian tubes or vas deferens. Barrier methods physically prevent sperm from reaching the egg, such as vaults, diaphragms, and cervical caps. These devices create a barrier to sperm, unlike sterilization. Therefore, choices A, B, and D are all considered barrier methods of birth control.

4. The endometrium is shed up to the basal layer during this phase of the menstrual cycle:

• A. Ovulation
• B. Regenerative
• C. Secretory
• D. Menstruation

Correct answer: D

Rationale: The correct answer is D. During the menstrual phase of the menstrual cycle, the endometrium is shed up to the basal layer. This shedding occurs as a result of decreased levels of estrogen and progesterone, leading to the breakdown and subsequent shedding of the endometrial lining. Choice A, ovulation, is incorrect as ovulation is the release of an egg from the ovary, which occurs during the mid-cycle. Choice B, regenerative, is incorrect as it does not specifically refer to the phase where the shedding of the endometrium occurs. Choice C, secretory, is incorrect as it refers to the phase where the endometrium thickens in preparation for possible implantation of a fertilized egg, not shedding.

5. The letter 'T' in the Acronym 'GATHER' denotes:

• A. Ask the client about themselves - particular needs, obstetric and medical history
• B. Tell the client about modern FP methods available, and discuss each in detail
• C. Help the client choose a method and repeat information regarding the chosen method if necessary
• D. Explain how to use the method - what, where, when, and how

Correct answer: B

Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.

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