Nursing Elites

1. At 3-4 weeks of pregnancy, the breast changes include:

• A. Darkening of the nipple.
• B. Prickling, tingling sensation.
• C. Breast becomes tender.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.

2. What does Bidder's canal receive?

• A. Eggs
• B. Sperms
• C. Ammonia
• D. Oxygenated blood

Correct answer: B

Rationale: Bidder's canal is a part of the male reproductive system and receives sperm from the testes. The other choices are incorrect because Bidder's canal is not associated with receiving eggs, ammonia, or oxygenated blood.

3. What does reproductive health refer to?

• A. Healthy baby
• B. Frequent coitus
• C. Healthy reproductive organs and functions
• D. Longer lifetime

Correct answer: C

Rationale: Reproductive health refers to the overall well-being of the reproductive system, including both the organs and their functions. It encompasses the ability to have a satisfying and safe sex life, the capability to reproduce, and the absence of reproductive problems. Choice A is incorrect because reproductive health is not solely about having a healthy baby but also includes the health of the individual. Choice B is incorrect as it focuses only on sexual activity frequency rather than the holistic well-being of the reproductive system. Choice D is incorrect because a longer lifetime does not specifically relate to reproductive health.

4. Which of the following Leopold maneuvers assesses the fetal lie?

• A. Fundal grip
• B. Umbilical grip
• C. Pawlick grip
• D. Pelvic grip

Correct answer: A

Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.

5. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

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