Nursing Elites

1. Approximately how many primordial follicles are present in the cortex of the ovary at birth?

• A. 250,000
• B. 200,000
• C. 150,000
• D. 100,000

Correct answer: A

Rationale: The correct answer is A: 250,000. At birth, there are approximately 250,000 primordial follicles in the cortex of each ovary. These primordial follicles represent the reserve of oocytes that a female will have throughout her reproductive life. Choice B, 200,000, is incorrect as the number is higher. Choices C and D, 150,000 and 100,000 respectively, are also incorrect as they underestimate the actual number of primordial follicles present at birth.

2. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

3. Which one of the following statements is NOT true about menstruation?

• A. The average amount of menstrual flow is 50 to 90 ml.
• B. The menstrual flow constitutes serous fluid, necrotic slough.
• C. The cycle is influenced by the ovarian hormones Estrogen and progesterone.
• D. The menstrual flow has non-clotting blood.

Correct answer: D

Rationale: The correct answer is D. The statement that menstrual flow has non-clotting blood is incorrect because menstrual blood can indeed clot. Choices A, B, and C are all true statements about menstruation. Choice A reflects the average amount of menstrual flow, choice B describes the components of menstrual flow, and choice C correctly identifies the ovarian hormones that influence the menstrual cycle.

4. 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.

5. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

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