Nursing Elites

1. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?

• A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
• B. Pink mucosa with multiple small, fluid-filled protrusions
• C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
• D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os

Correct answer: C

Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.

2. During an ectopic pregnancy, what is the likelihood of a rupture in the ampullary portion of the tube?

• A. Frequent
• B. Uncommon
• C. Occasional
• D. Never

Correct answer: A

Rationale: During an ectopic pregnancy, a rupture in the ampullary portion of the tube is frequent. This is due to the increased pressure within the fallopian tube as the embryo grows, leading to the rupture of the tube. Choices B, C, and D are incorrect as they do not accurately describe the common occurrence of rupture in this specific part of the tube during an ectopic pregnancy.

3. 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.

4. What is the primary use of Bromocriptine?

• A. Relieve constriction ring.
• B. Manage post-partum hemorrhage.
• C. Affect milk production.
• D. Be used in pre-eclampsia.

Correct answer: C

Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.

5. Amniocentesis, a prenatal diagnostic test used to determine fetal sex, genetic anomalies, and biochemical abnormalities, is based on:

• A. The karyotyping of the amniotic fluid
• B. Chorionic villus sampling
• C. Umbilical cord blood sampling
• D. Ultrasound

Correct answer: A

Rationale: The correct answer is A. Amniocentesis involves the analysis of the fetal cells present in the amniotic fluid, which is extracted from the amniotic sac surrounding the developing fetus. This fluid contains cells shed by the fetus, which can be cultured and analyzed to obtain a karyotype, providing information about the fetal sex, genetic anomalies, and biochemical abnormalities. Choices B, C, and D are incorrect because chorionic villus sampling involves obtaining a sample of the chorionic villi from the placenta, not the amniotic fluid; umbilical cord blood sampling is typically used for other purposes like assessing the baby's blood for infections or genetic disorders; and ultrasound is a diagnostic imaging technique that does not involve the analysis of fetal cells for genetic information.

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