Nursing Elites

1. Which contraceptive option suppresses sperm motility and inhibits the implantation of the blastocyst?

• A. Copper-T
• B. Diaphragm
• C. Contraceptive pills
• D. Condom

Correct answer: A

Rationale: The correct answer is A, Copper-T. Copper-T is an intrauterine device that releases copper ions, which suppress sperm motility and inhibit the implantation of the blastocyst. This method mainly works by preventing fertilization and, if fertilization occurs, by making the endometrium less receptive to implantation. Choices B, C, and D are incorrect. The diaphragm is a barrier method that prevents sperm from reaching the cervix; contraceptive pills mainly work by suppressing ovulation and altering cervical mucus to prevent sperm from reaching the egg; condoms are barrier methods that prevent sperm from entering the vagina.

2. What is one goal of family planning?

• A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
• B. Limiting couples and individuals to one or two children
• C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
• D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

3. How can menopause affect health?

• A. Causing conjunctivitis
• B. Leading to colitis or bowel upsets
• C. Increasing the risk of cancer
• D. Triggering urinary infections

Correct answer: D

Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.

4. Which of the following is included in a pelvic examination?

• A. Inspection of internal genitalia
• B. Inspection of the cervix and vaginal wall
• C. Palpation of the vagina and vaginal cervix by digital examination
• D. Rectal examination

Correct answer: B

Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.

5. 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.

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