Nursing Elites

1. Which of the following is incorrect about oral contraceptive pill 'Saheli'?

• A. It is taken by females
• B. It has very few side effects
• C. It is a steroidal preparation
• D. It is 'Once a week' pill

Correct answer: C

Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.

2. What causes the changes in appearance seen in boys at the time of puberty?

• A. Prolactin
• B. Adrenaline
• C. Estrogen
• D. Testosterone

Correct answer: D

Rationale: During puberty, boys experience physical changes such as growth of facial and body hair, deepening of the voice, and muscle development. These changes are primarily driven by the hormone testosterone. Testosterone is responsible for the development of male secondary sexual characteristics. Therefore, the correct answer is testosterone. Choices A, B, and C are incorrect because prolactin, adrenaline, and estrogen do not play a significant role in the development of male secondary sexual characteristics during puberty.

3. Which of the following hormones promotes endometrial growth?

• A. LH
• B. FSH
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.

4. 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.

5. In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

• A. Threatened
• B. Imminent
• C. Missed
• D. Incomplete

Correct answer: C

Rationale: Dark brown vaginal discharge and a negative pregnancy test are characteristic of a missed abortion. In a missed abortion, the fetus has died, but the products of conception are retained in the uterus. This can lead to symptoms like dark brown vaginal discharge as the body tries to expel the nonviable pregnancy. A threatened abortion is characterized by vaginal bleeding without dilation of the cervix, and the pregnancy remains viable. Imminent abortion involves cervical dilation and effacement with no passage of tissue. In an incomplete abortion, only part of the products of conception are expelled, leading to persistent bleeding and cramping.

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