Nursing Elites

1. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:

• A. Menorrhagia
• B. Metrorrhagia
• C. Polymenorrhoea
• D. Epimenorrhoea

Correct answer: B

Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.

2. What is the role of the prolactin hormone?

• A. Stimulates the development of milk-producing tissue.
• B. Stimulates milk storage.
• C. Stimulates milk production.
• D. Stimulates milk ejection.

Correct answer: C

Rationale: The correct answer is C: 'Stimulates milk production.' Prolactin hormone is responsible for promoting the production of milk in the mammary glands. This hormone does not directly stimulate the development of milk-producing tissue (Choice A), milk storage (Choice B), or milk ejection (Choice D). While these functions are related to lactation, the primary role of prolactin is to facilitate milk production.

3. In order to provide services effectively and in the best interests of the whole family:

• A. The wife's relatives need to be contacted
• B. It's important to seek the services of a traditional healer
• C. Health providers need to be aware of the roles and decision-making process within the family
• D. Health providers need to conduct door-to-door sensitization on health matters

Correct answer: C

Rationale: The correct answer is C: 'Health providers need to be aware of the roles and decision-making process within the family.' To provide services effectively, health providers must understand the dynamics within a family, including who makes decisions and how roles are distributed. This knowledge helps them tailor their services to meet the needs and preferences of the whole family. Choices A and B are incorrect because contacting the wife's relatives or seeking the services of a traditional healer may not necessarily align with providing effective services based on family dynamics. Choice D is also incorrect as door-to-door sensitization may not directly address the internal dynamics of a family.

4. What is one of the roles of the oxytocin hormone?

• A. Stimulates milk ejection.
• B. Stimulates the production of milk.
• C. Stimulates the development of lactoferrin.
• D. Stimulates the secretion of relaxin.

Correct answer: A

Rationale: The correct answer is A: 'Stimulates milk ejection.' Oxytocin is responsible for contracting the muscles around the milk ducts, pushing milk into the nipples for breastfeeding. This process is known as milk ejection or let-down. The other choices are incorrect because oxytocin's primary function is to facilitate milk ejection rather than directly stimulating the production of milk, the development of lactoferrin, or the secretion of relaxin.

5. Which of the following is NOT a phase of the menstrual cycle?

• A. Follicular phase
• B. Ovulatory phase
• C. Luteal phase
• D. Secretory phase

Correct answer: D

Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.

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