Nursing Elites

1. Which department of the Government ministries was given the mandate to pilot a draft population policy?

• A. The department of planning and development
• B. National census
• C. Human rights
• D. Central statistics

Correct answer: A

Rationale: The correct answer is A: The department of planning and development. In the extract provided, it explicitly mentions that this department was tasked with piloting the population policy. The other choices are incorrect because the National census is primarily responsible for collecting demographic data, Human rights focus on ensuring and protecting human rights, and Central statistics deal with statistical data collection and analysis, none of which directly align with piloting a population policy.

2. Which of the following Leopold maneuvers assesses the fetal lie?

• A. Fundal grip
• B. Umbilical grip
• C. Pawlick grip
• D. Pelvic grip

Correct answer: A

Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.

3. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system

• A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
• B. Blood volume and plasma volume decrease, and red blood cells decrease.
• C. No changes occur in the haematological system during pregnancy.
• D. Platelet count remains constant, and no change in coagulation factors.

Correct answer: A

Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.

4. Which of the following structures is responsible for the production of sperm?

• A. Epididymis
• B. Seminal vesicles
• C. Testes
• D. Prostate gland

Correct answer: C

Rationale: The testes are the male reproductive organs responsible for the production of sperm through a process called spermatogenesis. The epididymis is a structure where sperm mature and are stored temporarily. Seminal vesicles produce a significant portion of the fluid that ultimately becomes semen, but they do not produce sperm. The prostate gland contributes additional fluid to semen but does not produce sperm. Therefore, the correct answer is the testes.

5. What is a cord inserted to the very edge of the placenta known as?

• A. Battledore insertion
• B. Placenta velamentosa
• C. Placenta accreta
• D. Vasa Praevia

Correct answer: A

Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.

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