Nursing Elites

1. How does human sperm move?

• A. Flagella
• B. Cilia
• C. Neutrophils
• D. None of the above

Correct answer: A

Rationale: Human sperm moves using flagella, which are whip-like structures that aid in propulsion. Flagella are tail-like structures found in sperm cells and help them swim towards the egg for fertilization. Cilia are shorter, hair-like structures that are not involved in the movement of sperm. Neutrophils are a type of white blood cell involved in the immune response and are not related to sperm locomotion.

2. Which of the following investigations is done in Pelvic Inflammatory Disease?

• A. Paracentesis
• B. Culdocentesis
• C. Hysterectomy
• D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.

3. What is one of the roles of the oxytocin hormone?

• A. Stimulates milk ejection.
• B. Stimulates the production of milk.
• C. Stimulates the development of lactoferrin.
• D. Stimulates the secretion of relaxin.

Correct answer: A

Rationale: The correct answer is A: 'Stimulates milk ejection.' Oxytocin is responsible for contracting the muscles around the milk ducts, pushing milk into the nipples for breastfeeding. This process is known as milk ejection or let-down. The other choices are incorrect because oxytocin's primary function is to facilitate milk ejection rather than directly stimulating the production of milk, the development of lactoferrin, or the secretion of relaxin.

4. What is included in the Quality of Care in reproductive health?

• A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
• B. Providing reproductive health services only in urban areas.
• C. Ensuring that all women deliver in a hospital setting.
• D. Ensuring that reproductive health services are only provided by doctors.

Correct answer: A

Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.

5. 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.

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