Nursing Elites

1. When does missed abortion occur?

• A. The fetus dies and is retained in utero with the placenta and membranes.
• B. All products of conception are expelled with minimal bleeding.
• C. The cervix remains closed, and the products of conception remain in the uterus.
• D. The cervix remains closed, but there is heavy bleeding.

Correct answer: C

Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.

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 the primary use of Bromocriptine?

• A. Relieve constriction ring.
• B. Manage post-partum hemorrhage.
• C. Affect milk production.
• D. Be used in pre-eclampsia.

Correct answer: C

Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.

4. What is the typical measurement of the anterior wall of the vaginal canal?

• A. 10 cm
• B. 11 cm
• C. 11.5 cm
• D. 7.5 cm

Correct answer: D

Rationale: The typical measurement of the anterior wall of the vaginal canal is 7.5 cm. This measurement is anatomically accurate, making choice D the correct answer. Choices A, B, and C provide measurements that are larger than the typical measurement of the anterior wall of the vaginal canal and are therefore incorrect.

5. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

• A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
• B. The heart is displaced downward and to the right, and blood pressure increases.
• C. The cardiovascular system remains unchanged during pregnancy.
• D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

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