Nursing Elites

1. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:

• A. Oligomenorrhea
• B. Menorrhagia
• C. Metrorrhagia
• D. Polymenorrhea

Correct answer: A

Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.

2. Oligomenorrhea is defined as a cycle longer than:

• A. 28 days
• B. 30 days
• C. 35 days
• D. 40 days

Correct answer: C

Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.

3. Where does fertilization normally occur?

• A. Ampulla
• B. Interstitial portion
• C. Isthmus
• D. Infundibulum

Correct answer: A

Rationale: Fertilization typically occurs in the ampulla of the fallopian tube. The ampulla provides the ideal environment for fertilization due to the presence of cilia that help transport the egg and sperm, as well as the nourishing fluid within this region. The interstitial portion, isthmus, and infundibulum of the fallopian tube are not the primary sites for fertilization. The interstitial portion connects the fallopian tube to the uterine cavity, the isthmus is the narrowest part near the uterus, and the infundibulum is the funnel-shaped end near the ovary, where the egg is captured after ovulation.

4. At what point is a fetus considered viable?

• A. 26 weeks
• B. 28 weeks
• C. 37 weeks
• D. 12 weeks

Correct answer: C

Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.

5. Which of the following is not a complication of menopause?

• A. Fractures
• B. Alzheimer's disease
• C. Congestive heart failure
• D. Painful intercourse

Correct answer: C

Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.

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