Nursing Elites

1. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

2. What is the leading cause of maternal mortality?

• A. Pre-eclampsia
• B. Haemorrhage
• C. Sepsis
• D. Obstructed labour

Correct answer: B

Rationale: The correct answer is B: Haemorrhage. Haemorrhage is a leading cause of maternal mortality due to excessive bleeding during childbirth. While conditions like pre-eclampsia, sepsis, and obstructed labor can also be serious complications during pregnancy and childbirth, they are not the primary cause of maternal mortality worldwide.

3. What is amniocentesis used to detect?

• A. Sexually transmitted diseases
• B. Presence of certain genetic disorders
• C. Causes of infertility
• D. Presence of pneumonia germs

Correct answer: B

Rationale: Amniocentesis is a prenatal test used to detect certain genetic disorders in a developing fetus. It involves collecting a small sample of the amniotic fluid surrounding the fetus and analyzing the genetic material present in the cells. This test is not used to detect sexually transmitted diseases, causes of infertility, or the presence of pneumonia germs. Therefore, the correct answer is B.

4. What is one role of the hormone estrogen?

• A. Stimulates the development of the milk-producing tissue.
• B. Stimulates the production of lactoferrin.
• C. Stimulates the development of the nipple and duct system in the breast.
• D. Stimulates the secretion of relaxin.

Correct answer: A

Rationale: The correct answer is A: Estrogen stimulates the development of the milk-producing tissue in the breast. This hormone is essential in preparing the breast for milk production. Choice B is incorrect because lactoferrin production is not a primary role of estrogen. Choice C is incorrect as estrogen primarily influences the development of the breast tissue rather than specifically the nipple and duct system. Choice D is incorrect because relaxin secretion is not a function typically associated with estrogen.

5. 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.

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