Nursing Elites

1. By which name is family planning currently known?

• A. Reproductive and child care
• B. Family and child care
• C. Reproductive and child health
• D. Reproductive and child health care

Correct answer: C

Rationale: Family planning is currently known as Reproductive and Child Health (RCH). It encompasses a broader scope beyond just care, focusing on the overall health aspects related to reproduction and child well-being. Choices A, B, and D are incorrect as they do not accurately reflect the comprehensive nature of family planning under the term Reproductive and Child Health.

2. What laboratory values are not typically elevated in a patient with PCOS?

• A. LH
• B. Androgens
• C. Estrogens
• D. Prolactin

Correct answer: D

Rationale: The correct answer is D: Prolactin. Prolactin levels are not typically elevated in patients with PCOS. Elevated LH and androgens are commonly seen in PCOS patients. While estrogen levels can vary in PCOS, they are not consistently low or high in all cases.

3. Which of the following is a symptom of menopause?

• A. Bleeding per vagina
• B. Sleeping all the time
• C. Insomnia
• D. Increased concentration

Correct answer: C

Rationale: Insomnia is a common symptom of menopause. During menopause, hormonal changes can lead to sleep disturbances, including difficulty falling asleep or staying asleep. Choice A, 'Bleeding per vagina,' is not a typical symptom of menopause but should prompt further evaluation. Choice B, 'Sleeping all the time,' is not a common symptom of menopause; in fact, insomnia, rather than excessive sleep, is more prevalent. Choice D, 'Increased concentration,' is not a symptom of menopause; cognitive changes like forgetfulness or difficulty concentrating may occur, but increased concentration is not a typical manifestation.

4. Which phase of the menstrual cycle is variable?

• A. Ovulatory
• B. Regenerative
• C. Secretory
• D. Menstrual

Correct answer: B

Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.

5. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

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