Nursing Elites

1. Which hormone regulates the production of milk after childbirth?

• A. Prolactin
• B. Oxytocin
• C. Estrogen
• D. Progesterone

Correct answer: A

Rationale: The correct answer is Prolactin. Prolactin is the hormone responsible for regulating the production of milk after childbirth. It stimulates the mammary glands in the breasts to produce milk. Oxytocin, on the other hand, is responsible for the ejection of milk from the breasts. Estrogen and progesterone play roles in the menstrual cycle and pregnancy but are not directly involved in milk production. Therefore, choices B, C, and D are incorrect.

2. 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.

3. The following are delays associated with maternal mortality EXCEPT:

• A. Delay in recognizing danger signs
• B. Delay in arrival at a health facility
• C. Delay in initiating treatment
• D. Excessive blood loss

Correct answer: D

Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.

4. How do contraceptive oral pills help in birth control?

• A. Preventing ovulation
• B. Killing ova
• C. Killing sperms
• D. More than one of the above

Correct answer: A

Rationale: Contraceptive oral pills primarily work by preventing ovulation, which means Choice A is correct. Choices B and C are incorrect because oral contraceptive pills do not kill ova or sperms. Choice D is incorrect because only preventing ovulation is the primary mechanism of action for oral contraceptive pills.

5. 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.

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