Nursing Elites

1. The Wolffian duct is also known as ____________.

• A. Mesonephric duct
• B. Ejaculatory duct
• C. Major sublingual duct
• D. Cystic duct

Correct answer: A

Rationale: The correct answer is A: Mesonephric duct. The Wolffian duct is indeed also known as the mesonephric duct. This duct plays a vital role in the development of the male reproductive system by carrying sperm from the epididymis to the ejaculatory duct. Choice B, Ejaculatory duct, is incorrect as it refers to a different duct responsible for transporting semen from the vas deferens. Choices C and D, Major sublingual duct and Cystic duct, are unrelated to the Wolffian duct and are not correct answers in this context.

2. 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.

3. Abortion is defined as:

• A. Bleeding per vaginum in early pregnancy
• B. Willingness to terminate pregnancy
• C. Expulsion of products of conception after the 28th week of gestation
• D. Expulsion of products of conception before the 28th week of gestation

Correct answer: D

Rationale: Abortion is defined as the expulsion of products of conception before the 28th week of gestation. Choice A is incorrect as it describes bleeding in early pregnancy, not the definition of abortion. Choice B is incorrect as it refers to the willingness to terminate a pregnancy rather than the actual act of expulsion. Choice C is incorrect as it defines abortion as the expulsion of products of conception after the 28th week of gestation, which is considered a stillbirth.

4. Cryptorchidism is a condition where _________.

• A. One or both testes are not developed
• B. One or both testes fail to descend into the scrotum
• C. One or both testes are not formed
• D. None of the above

Correct answer: B

Rationale: Cryptorchidism is a condition where one or both testes fail to descend into the scrotum. This means that the testes do not properly move from the abdomen into the scrotum during fetal development. Choice A is incorrect because the issue is not about development but descent. Choice C is incorrect as it implies that the testes were never formed, which is not the case in cryptorchidism. Choice D is incorrect as cryptorchidism does involve the testes but rather their descent into the scrotum.

5. To ensure the provision of appropriate services for overcoming infertility barriers to the achievement of reproductive intentions, Integrated Reproductive Health has incorporated a component of:

• A. Infertility
• B. Safe abortions
• C. STIs and HIV
• D. Family Planning

Correct answer: A

Rationale: The correct answer is A: Infertility. Integrated Reproductive Health incorporates a component focused on infertility to address barriers to achieving reproductive intentions. This inclusion is crucial as infertility can be a significant obstacle to reproductive health. Choice B, safe abortions, is incorrect as it is not directly related to overcoming infertility barriers. Choice C, STIs and HIV, while important for reproductive health, is not specifically addressing infertility. Choice D, family planning, although relevant for reproductive health, is not the primary focus when addressing infertility barriers.

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