Nursing Elites

1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

2. The programs aimed at achieving total reproductive health as a social goal at the national level are called:

• A. Family organization
• B. Family planning
• C. Reproductive care
• D. Reproductive health

Correct answer: D

Rationale: The correct answer is D, 'Reproductive health.' Reproductive health programs focus on ensuring overall well-being in relation to reproduction, including access to reproductive services, education, and healthcare. Choice A, 'Family organization,' does not specifically address health aspects related to reproduction. Choice B, 'Family planning,' is more focused on birth control and family size rather than the broader aspects of reproductive health. Choice C, 'Reproductive care,' is limited to the aspect of medical care and does not encompass the comprehensive approach of reproductive health programs.

3. 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.

4. Herpes simplex type 2 (HSV-2) does not cause cold sores of the lips:

• A. True.
• B. False.
• C. Depends on the person.
• D. Not enough information.

Correct answer: B

Rationale: Herpes simplex type 2 (HSV-2) typically causes genital herpes, not cold sores on the lips. Cold sores on the lips are commonly caused by herpes simplex type 1 (HSV-1). Therefore, the statement that HSV-2 causes cold sores of the lips is incorrect. Choice B, 'False,' is the correct answer. Choice A is incorrect because HSV-2 does not cause cold sores on the lips. Choice C, 'Depends on the person,' is incorrect as the cause of cold sores is predominantly linked to HSV-1. Choice D, 'Not enough information,' is also incorrect as this information is well-established in medical knowledge.

5. Inevitable abortion occurs when:

• A. The ovum dies in utero and the decidua capsularis remains intact.
• B. The cervix is open, and the products of conception are about to be expelled.
• C. The products of conception are expelled before the 20th week of gestation.
• D. The fetus dies and is expelled in the first trimester.

Correct answer: B

Rationale: Inevitable abortion occurs when the cervix is open, and the products of conception are about to be expelled. This is a critical point in the process of spontaneous abortion, indicating that expulsion of the products of conception is imminent. Choice A is incorrect as it describes a missed abortion where the ovum dies but the decidua capsularis remains intact. Choice C is incorrect as it describes an incomplete abortion where the products of conception are expelled before the completion of 20 weeks of gestation. Choice D is incorrect as it describes a missed abortion where the fetus dies and is expelled in the first trimester.

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