Nursing Elites

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

• A. Kidneys increase in size, pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases.
• B. Kidneys decrease in size, and glomerular filtration rate decreases.
• C. There is no change in kidney size or ureter function, but the glomerular filtration rate decreases.
• D. Kidneys shrink, and ureters remain the same.

Correct answer: A

Rationale: During pregnancy, the kidneys increase in size, the pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases. This is due to the increased metabolic demands and hormonal changes during pregnancy. Choice B is incorrect as the kidneys do not decrease in size, and the glomerular filtration rate actually increases. Choice C is incorrect as there are changes in kidney size and ureter function during pregnancy. Choice D is incorrect as the kidneys do not shrink during pregnancy.

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. Lactational Amenorrhoea Method (LAM) is best for:

• A. Clients who do not wish to have any more children
• B. Clients with a baby less than 6 months postpartum
• C. Clients who want to wait before having a first or another child
• D. Clients with several sexual partners

Correct answer: B

Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.

4. What is Diazepam used for?

• A. Management of post-partum hemorrhage.
• B. Management of pre-eclampsia.
• C. Induction of labor.
• D. Relieving anxiety.

Correct answer: D

Rationale: Diazepam is primarily used for relieving anxiety and muscle spasms. It is a benzodiazepine medication that works by enhancing the effects of a neurotransmitter in the brain to produce a calming effect. While Diazepam is not used for managing post-partum hemorrhage, pre-eclampsia, or inducing labor, it is essential in treating anxiety disorders, muscle spasms, and certain types of seizures. Therefore, option D is the correct answer as it aligns with the primary therapeutic use of Diazepam.

5. What does confidentiality in reproductive health services mean?

• A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
• B. Sharing patient information with all healthcare staff.
• C. Sharing patient information with their family members.
• D. Allowing patient information to be discussed in public areas.

Correct answer: A

Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.

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