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. Amniocentesis deals with patterns of ______ in the amniotic fluid.

• A. Fingers
• B. DNA
• C. Chromosomes
• D. Proteins

Correct answer: C

Rationale: Amniocentesis is a prenatal test that involves examining chromosomes in the amniotic fluid to detect genetic abnormalities. Therefore, the correct answer is 'Chromosomes.' The other choices, such as 'Fingers,' 'DNA,' and 'Proteins,' do not accurately represent what is analyzed during an amniocentesis procedure and are unrelated to the genetic information obtained through this test.

3. Which of the following are signs and symptoms of vaginitis EXCEPT?

• A. Vaginal itching and irritation
• B. Heavy vaginal bleeding
• C. Pain during coitus
• D. Painful urination

Correct answer: B

Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.

4. Where does fertilization normally occur?

• A. Ampulla
• B. Interstitial portion
• C. Isthmus
• D. Infundibulum

Correct answer: A

Rationale: Fertilization typically occurs in the ampulla of the fallopian tube. The ampulla provides the ideal environment for fertilization due to the presence of cilia that help transport the egg and sperm, as well as the nourishing fluid within this region. The interstitial portion, isthmus, and infundibulum of the fallopian tube are not the primary sites for fertilization. The interstitial portion connects the fallopian tube to the uterine cavity, the isthmus is the narrowest part near the uterus, and the infundibulum is the funnel-shaped end near the ovary, where the egg is captured after ovulation.

5. The surgical procedure done in Bartholin's abscess is called:

• A. Hysterectomy
• B. Oophorectomy
• C. Marsupialization
• D. Salpingectomy

Correct answer: C

Rationale: The correct answer is C: Marsupialization. Marsupialization is the surgical procedure specifically performed for Bartholin's abscess. This procedure involves creating a new duct for the Bartholin's gland to prevent future abscess formation. Choices A, B, and D are incorrect because hysterectomy involves the removal of the uterus, oophorectomy involves the removal of the ovaries, and salpingectomy involves the removal of the fallopian tubes, none of which are the appropriate procedures for treating a Bartholin's abscess.

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