Nursing Elites

1. Which of the following is included in a gynecological examination?

• A. Abdominal examination
• B. General and systemic examination
• C. Obstetric exam
• D. Pelvic examination

Correct answer: A

Rationale: Correct! A gynecological examination typically includes an abdominal examination to assess the overall health of the patient. This includes checking for any abnormalities, tenderness, or masses. General and systemic examinations are also important as they provide valuable information about the patient's overall health status. Pelvic examination is another essential component of a gynecological exam to assess the reproductive organs. Obstetric exams, focusing on pregnant women, are not part of routine gynecological examinations.

2. Which of the following are layers of the anterior abdominal wall?

• A. Linear albicantes
• B. Superficial fascia
• C. Visceral peritoneum
• D. Fascia transversalis

Correct answer: A

Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.

3. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

4. What is the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births?

• A. 0.1
• B. 0.2
• C. 0.3
• D. 0.4

Correct answer: D

Rationale: To calculate the estimated percentage of deaths due to unsafe abortions, you divide the number of deaths due to unsafe abortions by the total number of maternal deaths and then multiply by 100 to get the percentage. In this case, with 591 maternal deaths and 40% estimated to be due to unsafe abortions, the calculation is (591 * 0.4) / 100, which equals 2.36. Therefore, the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births is 0.4 or 40%. Choices A, B, and C are incorrect percentages that do not reflect the provided information.

5. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

• A. Threatened abortion
• B. Inevitable abortion
• C. Complete abortion
• D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

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