Nursing Elites

1. Which of the following is not a characteristic of an ideal contraceptive?

• A. Irreversible
• B. Easily available
• C. User-friendly
• D. Effective with least side effects

Correct answer: A

Rationale: The correct answer is A: 'Irreversible.' An ideal contraceptive should not be irreversible because it should allow individuals to have the option to discontinue its use if desired. Choices B, C, and D are characteristics of an ideal contraceptive. Contraceptives should be easily available to ensure widespread accessibility, user-friendly to promote proper and consistent use, and effective with minimal side effects to maximize safety and tolerability.

2. At what age are women likely to enter menopause?

• A. 35 - 40 years
• B. 40 - 45 years
• C. 45 - 50 years
• D. 25 - 30 years

Correct answer: C

Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.

3. Complete abortion is characterized by:

• A. Os closed.
• B. Firm contracted uterus.
• C. Heavy bleeding.
• D. Heavy cramping.

Correct answer: A

Rationale: Complete abortion is characterized by a firm contracted uterus with a closed os. This closure of the os indicates that the products of conception have been completely expelled from the uterus. Choices B, C, and D are incorrect because a firm contracted uterus with a closed os is the hallmark sign of a complete abortion, not heavy bleeding, heavy cramping, or any other features.

4. 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.

5. 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.

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