Nursing Elites

1. 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.

2. Which of the following is used to differentiate abdominal mass from pelvic mass on clinical examination?

• A. Size
• B. Site
• C. Margins
• D. Lower border

Correct answer: D

Rationale: The lower border is used to differentiate between an abdominal mass and a pelvic mass during clinical examination. The lower border of the mass provides important information about its location and origin. The size (Choice A) alone may not always clearly distinguish between abdominal and pelvic masses. The site (Choice B) and margins (Choice C) are also important factors, but they are not as specific in differentiating between abdominal and pelvic masses as the lower border.

3. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

4. Which phase of the menstrual cycle is variable?

• A. Ovulatory
• B. Regenerative
• C. Secretory
• D. Menstrual

Correct answer: B

Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.

5. During menopause, what do ovaries stop producing?

• A. Progesterone and Estrogen
• B. Prolactin
• C. Human chorionic gonadotropin
• D. Oxytocin

Correct answer: A

Rationale: During menopause, the ovaries stop producing progesterone and estrogen. Progesterone and estrogen are hormones essential for the menstrual cycle and reproductive functions. Prolactin is a hormone responsible for milk production in the breasts and is not primarily produced by the ovaries. Human chorionic gonadotropin (hCG) is produced during pregnancy to support the production of progesterone and estrogen. Oxytocin is a hormone involved in labor and breastfeeding, not primarily produced by the ovaries.

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