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. What is required for privacy in reproductive health services?

• A. Covering windows and placing partitions between examination areas.
• B. Placing examination tables so that women will be exposed during exams.
• C. Allowing healthcare staff to discuss patients openly in the clinic.
• D. Forcing patients to undergo procedures without proper explanation.

Correct answer: A

Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.

3. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

• A. Threatened abortion
• B. Inevitable abortion
• C. Complete abortion
• D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

4. What term is used to refer to the fertilized ovum?

• A. Zygote
• B. Embryo
• C. Foetus
• D. Pregnancy

Correct answer: A

Rationale: The correct answer is A, Zygote. A zygote is formed when a sperm cell fertilizes an egg cell. It is the initial stage of prenatal development. Choice B, Embryo, refers to the stage of prenatal development after the zygote and before the foetus. Choice C, Foetus, is the stage of prenatal development after the embryo. Choice D, Pregnancy, is a broader term referring to the condition of having a developing baby in the uterus.

5. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?

• A. A carneous mole.
• B. A hydatidiform mole.
• C. A vesicular mole.
• D. A chorionic mole.

Correct answer: A

Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.

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