Nursing Elites

1. Outlet of the true pelvis anteriorly bounded by:

• A. Ischiopubic arch (T)
• B. Linea terminalis (F)
• C. Coccyx (T)
• D. Promontory of the sacrum (F)

Correct answer: A

Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.

2. In missed abortion, what will the woman often experience?

• A. Severe cramping and lower abdominal pains
• B. Brownish vaginal discharge
• C. Profuse per vagina bleeding
• D. Open cervical OS

Correct answer: B

Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.

3. What is the inner lining of the non-pregnant uterus called?

• A. Decidua
• B. Myometrium
• C. Endometrium
• D. Sponge layer

Correct answer: C

Rationale: The correct answer is C, Endometrium. The endometrium is the inner lining of the non-pregnant uterus that undergoes cyclic changes in response to hormonal fluctuations during the menstrual cycle. Choice A, Decidua, is the specialized membrane formed during pregnancy. Choice B, Myometrium, refers to the middle layer of the uterine wall composed of smooth muscle. Choice D, Sponge layer, is not a term used to describe the inner lining of the uterus.

4. The Gravindex test is used to detect Human Chorionic Gonadotrophic hormone (HCG) in:

• A. Urine or whole blood
• B. Amniotic fluid
• C. Saliva
• D. Cervical mucus

Correct answer: A

Rationale: The correct answer is A: Urine or whole blood. The Gravindex test is designed to detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood samples. HCG is a hormone produced during pregnancy, and its presence in urine or blood can indicate pregnancy. Choices B, C, and D are incorrect as the Gravindex test is not intended to detect HCG in amniotic fluid, saliva, or cervical mucus. These bodily fluids are not typically used for pregnancy testing purposes.

5. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:

• A. Menorrhagia
• B. Metrorrhagia
• C. Polymenorrhoea
• D. Epimenorrhoea

Correct answer: B

Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.

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