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. Amniocentesis, a prenatal diagnostic test used to determine fetal sex, genetic anomalies, and biochemical abnormalities, is based on:

• A. The karyotyping of the amniotic fluid
• B. Chorionic villus sampling
• C. Umbilical cord blood sampling
• D. Ultrasound

Correct answer: A

Rationale: The correct answer is A. Amniocentesis involves the analysis of the fetal cells present in the amniotic fluid, which is extracted from the amniotic sac surrounding the developing fetus. This fluid contains cells shed by the fetus, which can be cultured and analyzed to obtain a karyotype, providing information about the fetal sex, genetic anomalies, and biochemical abnormalities. Choices B, C, and D are incorrect because chorionic villus sampling involves obtaining a sample of the chorionic villi from the placenta, not the amniotic fluid; umbilical cord blood sampling is typically used for other purposes like assessing the baby's blood for infections or genetic disorders; and ultrasound is a diagnostic imaging technique that does not involve the analysis of fetal cells for genetic information.

3. The patient about to undergo gynecological surgery is put on nil by mouth for ____ before surgery to prevent aspiration.

• A. 2-4 hours
• B. 3-5 hours
• C. 4-6 hours
• D. 5-7 hours

Correct answer: C

Rationale: Patients undergoing gynecological surgery are typically advised to be nil by mouth for 4-6 hours before the procedure to reduce the risk of aspiration. This duration allows the stomach to empty its contents, decreasing the likelihood of regurgitation and aspiration of stomach contents during surgery. Choices A, B, and D have shorter durations and may not provide sufficient time for adequate gastric emptying, increasing the risk of aspiration.

4. What is the role of the progesterone hormone?

• A. Stimulates the development of the nipple and duct system in the breast.
• B. Stimulates the storage of milk.
• C. Stimulates the secretion of relaxin.
• D. Stimulates the development of glandular tissue in the breast.

Correct answer: A

Rationale: The correct answer is A. Progesterone hormone's role includes stimulating the development of the nipple and duct system in the breast. This hormone is crucial for preparing the breast for potential pregnancy by promoting the growth of structures necessary for milk production. Choices B, C, and D are incorrect because progesterone primarily focuses on preparing the breast for lactation rather than directly stimulating milk storage, relaxin secretion, or glandular tissue development.

5. How can the concept of Integrated Reproductive Health be strengthened?

• A. Through advocacy and IEC
• B. Through community participation
• C. Through radio messages
• D. Through family planning

Correct answer: A

Rationale: The correct answer is A: Through advocacy and IEC. Advocacy and Information, Education, Communication (IEC) campaigns are crucial in strengthening the concept of Integrated Reproductive Health. These efforts help raise awareness, educate the community, and promote positive health behaviors. Choice B, community participation, though important, is not as direct in strengthening the concept as advocacy and IEC. Choice C, radio messages, can be a part of IEC campaigns but alone may not be as effective in strengthening the concept. Choice D, family planning, is a component of Integrated Reproductive Health but is not the most comprehensive approach to strengthening the concept.

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