Nursing Elites

1. The programs aimed at achieving total reproductive health as a social goal at the national level are called:

• A. Family organization
• B. Family planning
• C. Reproductive care
• D. Reproductive health

Correct answer: D

Rationale: The correct answer is D, 'Reproductive health.' Reproductive health programs focus on ensuring overall well-being in relation to reproduction, including access to reproductive services, education, and healthcare. Choice A, 'Family organization,' does not specifically address health aspects related to reproduction. Choice B, 'Family planning,' is more focused on birth control and family size rather than the broader aspects of reproductive health. Choice C, 'Reproductive care,' is limited to the aspect of medical care and does not encompass the comprehensive approach of reproductive health programs.

2. What is the role of relaxin hormone?

• A. Relaxation of the symphysis pubis.
• B. Stimulation of milk production.
• C. Stimulating the development of the nipple and duct system in the breast.
• D. None of the above.

Correct answer: A

Rationale: The correct answer is A: Relaxation of the symphysis pubis. Relaxin hormone is responsible for loosening the ligaments in the pelvic area, particularly the symphysis pubis, to prepare for childbirth. Choice B, stimulation of milk production, is incorrect as this is primarily regulated by prolactin. Choice C, stimulating the development of the nipple and duct system in the breast, is incorrect as this is mainly influenced by estrogen and progesterone during pregnancy. Therefore, the correct role of relaxin hormone is the relaxation of the symphysis pubis.

3. 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.

4. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus

• A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
• B. The uterus decreases in size during pregnancy and remains rigid.
• C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
• D. Uterus becomes more rigid and hypertrophies.

Correct answer: A

Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.

5. In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

• A. Threatened
• B. Imminent
• C. Missed
• D. Incomplete

Correct answer: C

Rationale: Dark brown vaginal discharge and a negative pregnancy test are characteristic of a missed abortion. In a missed abortion, the fetus has died, but the products of conception are retained in the uterus. This can lead to symptoms like dark brown vaginal discharge as the body tries to expel the nonviable pregnancy. A threatened abortion is characterized by vaginal bleeding without dilation of the cervix, and the pregnancy remains viable. Imminent abortion involves cervical dilation and effacement with no passage of tissue. In an incomplete abortion, only part of the products of conception are expelled, leading to persistent bleeding and cramping.

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