Nursing Elites

1. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

• A. The posterior vaginal wall
• B. The anterior vaginal wall
• C. The abdominal wall
• D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.

2. 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.

3. Which component of reproductive health ensures the provision of quality reproductive health services at all levels of the health care system?

• A. Safe motherhood
• B. Adolescent health and development
• C. Health service delivery
• D. Reproductive health information

Correct answer: C

Rationale: Health service delivery is the component of reproductive health that specifically focuses on ensuring the provision of quality reproductive health services at all levels of the healthcare system. While safe motherhood and adolescent health are important aspects of reproductive health, they do not directly address the quality of health services delivery. Reproductive health information, although crucial, is not the component responsible for ensuring the quality of services provided.

4. The structures of the vulva lie ____________ to the vagina.

• A. Posterior
• B. Inferior
• C. Lateral
• D. Superior

Correct answer: B

Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.

5. What is a Carneous Mole defined as?

• A. Occurs when fluids drain from the blood mole, leaving a fresh firm mass.
• B. Occurs when the ovum dies and is expelled.
• C. Occurs when the fetus dies, and the membranes rupture.
• D. Occurs when the fetus survives after a failed abortion attempt.

Correct answer: A

Rationale: A Carneous Mole is defined as when fluids drain from the blood mole, leaving a fresh firm mass. This process leads to the formation of a solid mass resembling tissue. Choice B is incorrect as it describes a different concept known as a missed abortion, where the ovum dies and is expelled. Choice C is incorrect as it describes a situation related to fetal demise and membrane rupture, not specifically the formation of a Carneous Mole. Choice D is incorrect as it refers to a scenario where the fetus survives after a failed abortion attempt, which is distinct from the definition of a Carneous Mole.

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