Nursing Elites

1. Which of the following is subsidiary uterine support?

• A. Suspensory ligament
• B. Cardinal ligament
• C. Transcervical ligament
• D. Maklouf ligament

Correct answer: B

Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.

2. Which one of the following is not associated with poor maternal outcome?

• A. APH
• B. PPH
• C. Cord prolapse
• D. Pre-eclampsia

Correct answer: C

Rationale: Cord prolapse is not typically associated with poor maternal outcomes. Acute placental hemorrhage (APH - choice A) and postpartum hemorrhage (PPH - choice B) can lead to maternal morbidity and mortality due to excessive blood loss. Pre-eclampsia (choice D) is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, which can result in severe maternal complications if not managed promptly. Cord prolapse, though concerning for fetal well-being, does not inherently pose direct risks to maternal health if managed appropriately, making it the correct answer in this context.

3. The upper folds of the labia minora surround the clitoris and unite to form the:

• A. Frenulum
• B. Prepuce
• C. Fourchette
• D. Vestibule

Correct answer: B

Rationale: The correct answer is B: Prepuce. The upper folds of the labia minora surround the clitoris and unite to form the prepuce, which is a hood-like structure protecting the clitoris. The frenulum (choice A) is a small fold of tissue under the tongue or upper lip, not related to the female genitalia. The fourchette (choice C) refers to the area where the labia minora meet at the posterior end of the vulva, not involving the clitoris. The vestibule (choice D) is the space between the labia minora containing the vaginal and urethral openings, not directly formed by the upper folds of the labia minora.

4. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:

• A. Menorrhagia
• B. Metrorrhagia
• C. Polymenorrhoea
• D. Epimenorrhoea

Correct answer: B

Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.

5. What lines the uterus?

• A. Endometrium.
• B. Myometrium.
• C. Perimetrium.
• D. Glandular tissue.

Correct answer: A

Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.

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