Nursing Elites

1. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?

• A. A carneous mole.
• B. A hydatidiform mole.
• C. A vesicular mole.
• D. A chorionic mole.

Correct answer: A

Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.

2. At 16 weeks of pregnancy, the breast changes include:

• A. Montgomery's tubercles are prominent.
• B. Darkening of the nipple.
• C. Prickling, tingling sensation.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

3. What is Dinoprostone commonly used for?

• A. Cervical priming.
• B. Pain management during labor.
• C. Management of pre-term labor.
• D. Management of post-partum hemorrhage.

Correct answer: C

Rationale: Dinoprostone is commonly used for the management of pre-term labor. While it can be used for cervical priming, its primary indication is for pre-term labor. Choice A is partially correct but not the most common use of Dinoprostone. Choices B and D are incorrect as Dinoprostone is not primarily used for pain management during labor or for the management of post-partum hemorrhage.

4. During an ectopic pregnancy, what is the likelihood of a rupture in the ampullary portion of the tube?

• A. Frequent
• B. Uncommon
• C. Occasional
• D. Never

Correct answer: A

Rationale: During an ectopic pregnancy, a rupture in the ampullary portion of the tube is frequent. This is due to the increased pressure within the fallopian tube as the embryo grows, leading to the rupture of the tube. Choices B, C, and D are incorrect as they do not accurately describe the common occurrence of rupture in this specific part of the tube during an ectopic pregnancy.

5. The patient about to undergo gynecological surgery is put on nil by mouth for ____ before surgery to prevent aspiration.

• A. 2-4 hours
• B. 3-5 hours
• C. 4-6 hours
• D. 5-7 hours

Correct answer: C

Rationale: Patients undergoing gynecological surgery are typically advised to be nil by mouth for 4-6 hours before the procedure to reduce the risk of aspiration. This duration allows the stomach to empty its contents, decreasing the likelihood of regurgitation and aspiration of stomach contents during surgery. Choices A, B, and D have shorter durations and may not provide sufficient time for adequate gastric emptying, increasing the risk of aspiration.

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