Nursing Elites

1. Laparoscopy uses a small instrument known as a laparoscope to:

• A. Take very detailed photographs
• B. Insert a hysteroscope for D&C
• C. Perform an abortion procedure
• D. Perform a hysterectomy

Correct answer: A

Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.

2. Which structure maintains the uterus in an anteverted and anteflexed position?

• A. Round ligaments
• B. Broad ligaments
• C. Cardinal ligaments
• D. Pubocervical ligaments

Correct answer: A

Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.

3. What prompted Zambia to implement family planning services?

• A. The nation started to experience the effects of rapid population growth on the economy and individual welfare.
• B. Donors provided free family planning pills.
• C. Mothers were delivering twice a year.
• D. There were too many abortions.

Correct answer: A

Rationale: The correct answer is A. Rapid population growth's impact on the economy and individual welfare prompted Zambia to implement family planning services. This is because a rapidly growing population can strain resources, lead to unemployment, poverty, and inadequate access to healthcare. Choice B is incorrect because the provision of free family planning pills by donors may have been a subsequent intervention rather than the initial reason for implementing family planning services. Choice C is irrelevant as the frequency of deliveries by mothers does not directly relate to the implementation of family planning services. Choice D is also incorrect as high abortion rates may be a consequence of inadequate family planning services rather than the reason for their implementation.

4. Why is abortion important?

• A. It is easily conducted
• B. It can easily be diagnosed
• C. It causes serious complications such as infections and maternal death
• D. All of the above

Correct answer: C

Rationale: Abortion is important due to the serious complications it can cause, such as infections and maternal death. Choices A and B are incorrect because ease of conducting or diagnosing abortion procedures does not inherently make abortion important. Choice D is incorrect because not all the options listed are reasons why abortion is important; only choice C highlights the critical aspect of potential complications.

5. Which of the following is a function of the placenta?

• A. The placenta secretes insulin.
• B. The placenta facilitates the exchange of gases and nutrients between mother and fetus.
• C. The placenta provides immunological protection to the fetus.
• D. The placenta stores fat-soluble vitamins for the fetus.

Correct answer: B

Rationale: The correct answer is B. The placenta serves as a crucial organ during pregnancy, facilitating the exchange of gases (oxygen and carbon dioxide) and nutrients (such as glucose and amino acids) between the mother and the developing fetus. This exchange is vital for the fetus's growth and development. Choices A, C, and D are incorrect. The placenta does not secrete insulin; insulin is produced by the pancreas. While the placenta provides some immune support to the fetus, its main role is not immunological protection. Additionally, storing fat-soluble vitamins is not a primary function of the placenta.

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