Nursing Elites

1. 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.

2. During the menstrual cycle, which hormone maintains the corpus luteum?

• A. Luteinizing hormone
• B. Follicle-stimulating hormone
• C. Progesterone
• D. Relaxin

Correct answer: A

Rationale: During the menstrual cycle, luteinizing hormone maintains the corpus luteum. The correct answer is A. Luteinizing hormone stimulates the corpus luteum to produce progesterone. Choice B, Follicle-stimulating hormone, is involved in stimulating the growth of follicles in the ovaries. Choice C, Progesterone, is produced by the corpus luteum and plays a role in preparing the endometrium for implantation. Choice D, Relaxin, is involved in processes such as softening the cervix and ligaments during pregnancy, but it is not responsible for maintaining the corpus luteum.

3. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:

• A. Oophoritis
• B. Endometritis
• C. Salpingectomy
• D. Salpingitis

Correct answer: D

Rationale: Pelvic Inflammatory Disease (PID) is known to affect the fallopian tubes, leading to inflammation, which is termed as salpingitis. Choice A, Oophoritis, refers to inflammation of the ovaries, not the fallopian tubes. Choice B, Endometritis, is inflammation of the endometrium, the inner lining of the uterus, not the fallopian tubes. Choice C, Salpingectomy, is a surgical procedure to remove a fallopian tube and is not a condition caused by PID.

4. At what age does the first menstrual period typically occur?

• A. 9 and 15 years
• B. 2 and 10 years
• C. 1 and 5 years
• D. 18 and 20 years

Correct answer: A

Rationale: The first menstrual period, known as menarche, typically occurs between the ages of 9 and 15 years. This marks the onset of puberty in females. Choices B, C, and D are incorrect because the first menstrual period does not occur as early as 2 years old, 1 year old, or as late as 18 to 20 years old.

5. Which of the following are outcomes of an ectopic pregnancy EXCEPT?

• A. Tubal abortion
• B. Tubal rupture
• C. Intra-tubal bleeding
• D. Secondary abdominal pregnancy

Correct answer: D

Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.

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