Nursing Elites

1. Which one of the following is not a stage in the ovarian cycle of the menstrual cycle?

• A. Recruitment of Graafian follicle
• B. Selection of dominant follicle
• C. Luteal phase
• D. Formation of corpus luteum

Correct answer: A

Rationale: The correct answer is A. The recruitment of the Graafian follicle is indeed a stage in the ovarian cycle. During the ovarian cycle, the primary follicles are recruited to develop further, leading to the formation of the Graafian follicle. The selection of the dominant follicle, luteal phase, and formation of the corpus luteum are other essential stages in the ovarian cycle. Therefore, option A is not correct as it is a crucial phase in the process of ovulation and fertilization.

2. During fertilization, the portion of the decidua covering the blastocyst is called:

• A. Decidua basalis
• B. Decidua Vera
• C. Decidua parietalis
• D. Decidua capsularis

Correct answer: D

Rationale: During fertilization, the decidua capsularis is the specific portion of the decidua that covers the blastocyst, providing protection and support. Decidua basalis refers to the part of the decidua located at the site of implantation on the maternal side. Decidua vera is the remainder of the decidua lining the uterus. Decidua parietalis is the portion of the decidua that lines the rest of the uterine cavity, except for the site of implantation. Therefore, in the context of fertilization, the decidua capsularis is the correct answer.

3. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

• A. 0.1-0.5
• B. 0.2-0.5
• C. 1.0-2.0
• D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

4. Laparoscopy uses a small instrument known as a laparoscope to:

• A. Take very detailed photographs
• B. Insert a hysteroscope for D&C
• C. Perform an abortion procedure
• D. Perform a hysterectomy

Correct answer: A

Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.

5. What is the most common cause of abortion in Zambia?

• A. Tuberculosis
• B. HIV
• C. Ascariasis
• D. Malaria

Correct answer: D

Rationale: Malaria is the most common cause of abortion in Zambia due to its significant impact on maternal health. Malaria can lead to severe complications during pregnancy, increasing the risk of spontaneous abortion. Tuberculosis (Choice A), HIV (Choice B), and Ascariasis (Choice C) are serious health conditions, but they are not typically identified as the primary cause of abortion in Zambia as malaria.

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