Nursing Elites

1. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system

• A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
• B. Blood volume and plasma volume decrease, and red blood cells decrease.
• C. No changes occur in the haematological system during pregnancy.
• D. Platelet count remains constant, and no change in coagulation factors.

Correct answer: A

Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.

2. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?

• A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
• B. Pink mucosa with multiple small, fluid-filled protrusions
• C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
• D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os

Correct answer: C

Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.

3. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

4. What lines the uterus?

• A. Endometrium.
• B. Myometrium.
• C. Perimetrium.
• D. Glandular tissue.

Correct answer: A

Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.

5. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

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