Nursing Elites

1. Discuss the anatomical/physiological changes in pregnancy related to the breasts.

• A. Breast tenderness increases, circulatory supply to the breasts increases, leading to breast enlargement, and colostrum secretion occurs.
• B. Breast tenderness decreases, and there is no significant change in breast size.
• C. Breast changes include decreased tenderness and reduced circulatory supply.
• D. Breasts do not undergo significant changes during pregnancy.

Correct answer: A

Rationale: During pregnancy, the breasts undergo significant anatomical and physiological changes. These changes include increased breast tenderness, an increase in circulatory supply to the breasts, resulting in breast enlargement, and the secretion of colostrum. Choice B is incorrect as breast tenderness actually increases during pregnancy. Choice C is incorrect as the circulatory supply to the breasts increases rather than reduces. Choice D is incorrect as breasts do undergo notable changes during pregnancy.

2. Respect in reproductive health care involves:

• A. Talking to patients politely and managing their care compassionately and non-judgmentally.
• B. Ensuring that all patients sign a consent form.
• C. Ignoring patient requests for privacy.
• D. Disregarding patient concerns during care.

Correct answer: A

Rationale: Respect in reproductive health care entails treating patients with politeness, compassion, and without judgment. Choice A is the correct answer as it aligns with the principles of respect and patient-centered care. It is essential to communicate respectfully, show compassion, and address patients' needs without passing judgment. Choices B, C, and D are incorrect. Ensuring consent through a form is important but not the sole aspect of respect. Ignoring patient requests for privacy goes against patient rights, and disregarding patient concerns is contrary to providing comprehensive care.

3. What is a cord inserted to the very edge of the placenta known as?

• A. Battledore insertion
• B. Placenta velamentosa
• C. Placenta accreta
• D. Vasa Praevia

Correct answer: A

Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.

4. Through which arteries does the blood supply to the external genitalia primarily occur?

• A. Femoral arteries
• B. Inguinal arteries
• C. Pudendal arteries
• D. Internal iliac arteries

Correct answer: C

Rationale: The correct answer is C: Pudendal arteries. The pudendal arteries are responsible for supplying blood to the external genitalia. These arteries specifically provide blood flow to the perineum, including the external genitalia. Choice A, Femoral arteries, are not primarily responsible for supplying blood to the external genitalia. Choice B, Inguinal arteries, do not supply blood directly to the external genitalia. Choice D, Internal iliac arteries, are not the main suppliers of blood to the external genitalia.

5. What is one goal of family planning?

• A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
• B. Limiting couples and individuals to one or two children
• C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
• D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

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