Nursing Elites

1. What is included in the Quality of Care in reproductive health?

• A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
• B. Providing reproductive health services only in urban areas.
• C. Ensuring that all women deliver in a hospital setting.
• D. Ensuring that reproductive health services are only provided by doctors.

Correct answer: A

Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.

2. How many arteries are there in an umbilical cord?

• A. Three
• B. One
• C. Two
• D. Four

Correct answer: C

Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.

3. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

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. At 34-40 weeks of pregnancy, the breast changes include:

• A. Nipples become prominent and mobile.
• B. Colostrum can be expressed.
• C. Breasts become tender.
• D. Montgomery's tubercles are prominent.

Correct answer: D

Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.

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