Nursing Elites

1. To minimize unsafe abortions, IRH has strengthened:

• A. The termination of pregnancy act
• B. The post-abortion care and counseling services
• C. The gender and violence unit of the police services
• D. The empowerment of all women who want to abort

Correct answer: B

Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.

2. Which of the following is NOT a phase of the menstrual cycle?

• A. Follicular phase
• B. Ovulatory phase
• C. Luteal phase
• D. Secretory phase

Correct answer: D

Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.

3. What are the external organs of the female collectively known as?

• A. Vulva
• B. Frenulum
• C. Mons veneris
• D. Vestibule

Correct answer: A

Rationale: The correct answer is A: Vulva. The external organs of the female reproductive system, including the labia majora, labia minora, clitoris, vaginal opening, and Bartholin's glands, are collectively known as the vulva. Choice B, Frenulum, is incorrect as it refers to a small band of tissue. Choice C, Mons veneris, specifically refers to the rounded mass of fatty tissue located over the pubic bone, not all external female reproductive organs. Choice D, Vestibule, is incorrect as it is the space enclosed by the labia minora that includes the vaginal and urethral openings, not all external female reproductive organs.

4. Discuss the anatomical/physiological changes in pregnancy related to the breasts.

• A. Breast tenderness increases, circulatory supply to the breasts increases, leading to breast enlargement, and colostrum secretion occurs.
• B. Breast tenderness decreases, and there is no significant change in breast size.
• C. Breast changes include decreased tenderness and reduced circulatory supply.
• D. Breasts do not undergo significant changes during pregnancy.

Correct answer: A

Rationale: During pregnancy, the breasts undergo significant anatomical and physiological changes. These changes include increased breast tenderness, an increase in circulatory supply to the breasts, resulting in breast enlargement, and the secretion of colostrum. Choice B is incorrect as breast tenderness actually increases during pregnancy. Choice C is incorrect as the circulatory supply to the breasts increases rather than reduces. Choice D is incorrect as breasts do undergo notable changes during pregnancy.

5. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

• A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
• B. The heart is displaced downward and to the right, and blood pressure increases.
• C. The cardiovascular system remains unchanged during pregnancy.
• D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

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