Nursing Elites

1. In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

• A. Threatened
• B. Imminent
• C. Missed
• D. Incomplete

Correct answer: C

Rationale: Dark brown vaginal discharge and a negative pregnancy test are characteristic of a missed abortion. In a missed abortion, the fetus has died, but the products of conception are retained in the uterus. This can lead to symptoms like dark brown vaginal discharge as the body tries to expel the nonviable pregnancy. A threatened abortion is characterized by vaginal bleeding without dilation of the cervix, and the pregnancy remains viable. Imminent abortion involves cervical dilation and effacement with no passage of tissue. In an incomplete abortion, only part of the products of conception are expelled, leading to persistent bleeding and cramping.

2. At 34-40 weeks of pregnancy, the breast changes include:

• A. Nipples become prominent and mobile.
• B. Colostrum can be expressed.
• C. Breasts become tender.
• D. Montgomery's tubercles are prominent.

Correct answer: D

Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.

3. What is another name for the breast?

• A. Sebaceous glands
• B. Racemose glands
• C. Mammary glands
• D. Axillary glands

Correct answer: C

Rationale: The correct answer is C: Mammary glands. The mammary glands are the specific glands in the breast responsible for producing milk. Sebaceous glands (choice A) are oil-producing glands in the skin, racemose glands (choice B) are not a recognized term, and axillary glands (choice D) refer to glands found in the armpit region, not the breast.

4. The weight of the non-pregnant uterus is approximately ___________grams.

• A. 57
• B. 80
• C. 66
• D. 71

Correct answer: B

Rationale: The correct answer is B: 80. The non-pregnant uterus typically weighs around 80 grams. This weight may vary slightly among individuals, but 80 grams is a commonly accepted average. Choices A, C, and D are incorrect as they do not reflect the typical weight of the non-pregnant uterus. It is important to remember this approximate weight for medical reference and understanding of normal anatomical variations.

5. What is an organelle that helps the sperm to penetrate the ovum?

• A. Acrosome
• B. Zona pellucida
• C. Megalis
• D. None of the above

Correct answer: A

Rationale: The correct answer is Acrosome. The acrosome is an organelle located at the head of a sperm cell and contains enzymes that aid in the penetration of the ovum during fertilization. The Zona pellucida is a glycoprotein membrane surrounding the ovum, not an organelle. Megalis is not a relevant organelle in this context. Therefore, the correct choice is A, Acrosome.

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