Nursing Elites

1. Which of the following is a function of the placenta?

• A. The placenta secretes insulin.
• B. The placenta facilitates the exchange of gases and nutrients between mother and fetus.
• C. The placenta provides immunological protection to the fetus.
• D. The placenta stores fat-soluble vitamins for the fetus.

Correct answer: B

Rationale: The correct answer is B. The placenta serves as a crucial organ during pregnancy, facilitating the exchange of gases (oxygen and carbon dioxide) and nutrients (such as glucose and amino acids) between the mother and the developing fetus. This exchange is vital for the fetus's growth and development. Choices A, C, and D are incorrect. The placenta does not secrete insulin; insulin is produced by the pancreas. While the placenta provides some immune support to the fetus, its main role is not immunological protection. Additionally, storing fat-soluble vitamins is not a primary function of the placenta.

2. At 6-8 weeks of pregnancy, the breast changes include:

• A. Colostrum can be expressed.
• B. Breasts become tender.
• C. Montgomery's tubercles are prominent.
• D. Nipples become prominent and mobile.

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

3. Which statement accurately describes the female pelvis?

• A. Gynaecoid pelvis has a wedge-shaped inlet
• B. Platypelloid pelvis has an oval inlet
• C. Anthropoid pelvis has a long narrow oval inlet
• D. Android pelvis is wedge-shaped

Correct answer: B

Rationale: The correct answer is B because the Platypelloid pelvis indeed has an oval inlet. Gynaecoid pelvis, not mentioned in the choices, has a round inlet. Anthropoid pelvis has a long, narrow oval inlet, which makes choice C incorrect. Choice D is incorrect as the Android pelvis is actually heart-shaped with a narrowed inlet.

4. By which name is family planning currently known?

• A. Reproductive and child care
• B. Family and child care
• C. Reproductive and child health
• D. Reproductive and child health care

Correct answer: C

Rationale: Family planning is currently known as Reproductive and Child Health (RCH). It encompasses a broader scope beyond just care, focusing on the overall health aspects related to reproduction and child well-being. Choices A, B, and D are incorrect as they do not accurately reflect the comprehensive nature of family planning under the term Reproductive and Child Health.

5. Incomplete abortion is characterized by:

• A. Heavy bleeding.
• B. Open os.
• C. Severe cramping.
• D. Light bleeding.

Correct answer: B

Rationale: Incomplete abortion is characterized by an open os, which means that the cervix is dilated, allowing for passage of tissue. This condition typically presents with heavy bleeding as parts of the products of conception are expelled. Severe cramping may also be present due to uterine contractions. Therefore, the correct characteristic of incomplete abortion is an open os (Choice B). Choices A, C, and D are incorrect as heavy bleeding and severe cramping are symptoms associated with incomplete abortion, but they do not specifically define it, and light bleeding is not characteristic of incomplete abortion.

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