Nursing Elites

1. Where does fertilization normally occur?

• A. Ampulla
• B. Interstitial portion
• C. Isthmus
• D. Infundibulum

Correct answer: A

Rationale: Fertilization typically occurs in the ampulla of the fallopian tube. The ampulla provides the ideal environment for fertilization due to the presence of cilia that help transport the egg and sperm, as well as the nourishing fluid within this region. The interstitial portion, isthmus, and infundibulum of the fallopian tube are not the primary sites for fertilization. The interstitial portion connects the fallopian tube to the uterine cavity, the isthmus is the narrowest part near the uterus, and the infundibulum is the funnel-shaped end near the ovary, where the egg is captured after ovulation.

2. Which of the following is incorrect about oral contraceptive pill 'Saheli'?

• A. It is taken by females
• B. It has very few side effects
• C. It is a steroidal preparation
• D. It is 'Once a week' pill

Correct answer: C

Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.

3. What is the area of the uterus where the fallopian tubes are inserted known as?

• A. Fundus
• B. Corpus or body
• C. Cavity
• D. Cornua

Correct answer: D

Rationale: The correct answer is D, Cornua. The cornua refers to the upper, horn-like parts of the uterus where the fallopian tubes are inserted. The fundus (choice A) is the rounded top portion of the uterus, the corpus or body (choice B) is the main part of the uterus excluding the cervix and fundus, and the cavity (choice C) refers to the internal space within the uterus. Therefore, choices A, B, and C are incorrect as they do not specifically denote the area where the fallopian tubes are inserted.

4. Expanded access to family planning through non-public delivery systems is facilitated by all of the following EXCEPT:

• A. By using the private sector and social marketing
• B. Community-based programs
• C. Information, Education, and Communication
• D. Key persons in the community

Correct answer: D

Rationale: Expanded access to family planning through non-public delivery systems involves utilizing various strategies to reach more people. Options A, B, and C are all effective methods for expanding access to family planning services. The involvement of key persons in the community is not a typical approach for non-public delivery systems. Key persons in the community may have influence but may not be directly involved in the delivery of family planning services, making option D the correct answer.

5. 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.

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