Nursing Elites

1. What is amniocentesis used to detect?

• A. Sexually transmitted diseases
• B. Presence of certain genetic disorders
• C. Causes of infertility
• D. Presence of pneumonia germs

Correct answer: B

Rationale: Amniocentesis is a prenatal test used to detect certain genetic disorders in a developing fetus. It involves collecting a small sample of the amniotic fluid surrounding the fetus and analyzing the genetic material present in the cells. This test is not used to detect sexually transmitted diseases, causes of infertility, or the presence of pneumonia germs. Therefore, the correct answer is B.

2. What is required for privacy in reproductive health services?

• A. Covering windows and placing partitions between examination areas.
• B. Placing examination tables so that women will be exposed during exams.
• C. Allowing healthcare staff to discuss patients openly in the clinic.
• D. Forcing patients to undergo procedures without proper explanation.

Correct answer: A

Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.

3. 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.

4. The GIFT technique is recommended for which of the following females?

• A. Females who cannot produce an ovum
• B. Females who cannot provide a suitable environment for fertilization
• C. Females who cannot retain the embryo inside the uterus
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.

5. Which of the following tests is positive in pelvic inflammatory disease?

• A. Cervical excitation test
• B. Chadwick sign
• C. Jacquiners sign
• D. Palmers sign

Correct answer: A

Rationale: The correct answer is A: Cervical excitation test. The cervical excitation test is positive in pelvic inflammatory disease. This test involves pain or tenderness upon movement of the cervix, indicating inflammation of the pelvic organs. Chadwick sign (choice B) refers to a bluish discoloration of the cervix, vagina, and labia due to increased vascularity and is not a test for PID. Jacquiners sign (choice C) and Palmers sign (choice D) are not recognized clinical signs or tests for PID, making them incorrect choices.

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