Nursing Elites

1. When does threatened abortion occur?

• A. The patient experiences slight vaginal bleeding through an undilated cervix.
• B. The patient experiences heavy bleeding and cervical dilation.
• C. The patient experiences severe cramping and heavy bleeding.
• D. The patient experiences painless bleeding and an open cervix.

Correct answer: A

Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).

2. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

3. Which of the following are examples of external genitalia?

• A. Mons veneris
• B. Labia majora
• C. Vagina
• D. Cervix

Correct answer: A

Rationale: The correct answer is A: Mons veneris. The mons veneris and labia majora are considered external genitalia as they are visible externally. The vagina and cervix, on the other hand, are internal structures. The vagina is the canal leading from the external genitals to the cervix, which is the lower, narrow portion of the uterus.

4. How can the need to respect clients' rights to informed consent be attained in quality of care?

• A. by providing adequate information and counseling
• B. by forcing all patients scheduled for surgery to sign the consent form
• C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
• D. by simply telling the patient to sign the consent form

Correct answer: A

Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.

5. What does Community Participation in reproductive health mean?

• A. Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs.
• B. Providing health services only to women of reproductive age.
• C. Providing reproductive health services without community involvement.
• D. Providing reproductive health services to the entire population without exceptions.

Correct answer: A

Rationale: The correct answer is A: Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs. Community participation in reproductive health involves involving the community in planning, implementing, and evaluating programs to ensure they meet the needs and are sustainable. Choice B is incorrect because community participation is not limited to only women of reproductive age but involves the entire community. Choice C is incorrect as it emphasizes providing services without community involvement, which goes against the principles of community participation. Choice D is incorrect because community participation focuses on involving the community rather than providing services to the entire population without exceptions.

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