Nursing Elites

1. What is another name for the breast?

• A. Sebaceous glands
• B. Racemose glands
• C. Mammary glands
• D. Axillary glands

Correct answer: C

Rationale: The correct answer is C: Mammary glands. The mammary glands are the specific glands in the breast responsible for producing milk. Sebaceous glands (choice A) are oil-producing glands in the skin, racemose glands (choice B) are not a recognized term, and axillary glands (choice D) refer to glands found in the armpit region, not the breast.

2. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system

• A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
• B. Blood volume and plasma volume decrease, and red blood cells decrease.
• C. No changes occur in the haematological system during pregnancy.
• D. Platelet count remains constant, and no change in coagulation factors.

Correct answer: A

Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.

3. What is required for privacy in reproductive health services?

• A. Covering windows and placing partitions between examination areas.
• B. Placing examination tables so that women will be exposed during exams.
• C. Allowing healthcare staff to discuss patients openly in the clinic.
• D. Forcing patients to undergo procedures without proper explanation.

Correct answer: A

Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.

4. What are the Carunculae Myrtiformes?

• A. Tissues between the vagina and the perineum
• B. A component of the clitoral prepuce
• C. The remnants of the torn hymen
• D. Structures that partially close the vaginal introitus

Correct answer: C

Rationale: The Carunculae Myrtiformes are the remnants of the torn hymen. They are not tissues between the vagina and the perineum (Choice A), a part of the clitoral prepuce (Choice B), or structures that partially close the vaginal introitus (Choice D). Understanding the anatomy of the female reproductive system is crucial for healthcare professionals to provide accurate care and information.

5. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

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