Nursing Elites

1. What is the most common cause of abortion in Zambia?

• A. Tuberculosis
• B. HIV
• C. Ascariasis
• D. Malaria

Correct answer: D

Rationale: Malaria is the most common cause of abortion in Zambia due to its significant impact on maternal health. Malaria can lead to severe complications during pregnancy, increasing the risk of spontaneous abortion. Tuberculosis (Choice A), HIV (Choice B), and Ascariasis (Choice C) are serious health conditions, but they are not typically identified as the primary cause of abortion in Zambia as malaria.

2. What type of epithelium lines the vagina?

• A. Ciliated epithelium.
• B. Squamous epithelium.
• C. Columnar epithelium.
• D. Transitional epithelium.

Correct answer: B

Rationale: The correct answer is B: Squamous epithelium. The vagina is lined with non-keratinized stratified squamous epithelium. This type of epithelium provides protection against abrasion and pathogens. Choice A, Ciliated epithelium, is incorrect as ciliated epithelium is found in areas like the fallopian tubes to help move the egg towards the uterus. Choice C, Columnar epithelium, is incorrect as columnar epithelium is typically found in areas like the intestines. Choice D, Transitional epithelium, is incorrect as this type of epithelium is found in areas like the urinary bladder.

3. Practices such as female genital mutilation and unsafe male circumcision are categorized as:

• A. Harmful traditional practices
• B. Encouraged in rural Zambia
• C. Recommended in modern surgery and IRH
• D. Safer sex practices

Correct answer: A

Rationale: Practices like female genital mutilation and unsafe male circumcision are considered harmful traditional practices due to the physical and psychological harm they cause. Choice A is correct as these practices are not safe or recommended. Choice B is incorrect, as harmful traditional practices are not encouraged anywhere. Choice C is incorrect as modern surgery and organizations like IRH aim to eliminate such practices, not recommend them. Choice D is incorrect as these practices are not related to safer sex practices but rather harmful practices that need to be eradicated.

4. Which of the following is subsidiary uterine support?

• A. Suspensory ligament
• B. Cardinal ligament
• C. Transcervical ligament
• D. Maklouf ligament

Correct answer: B

Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.

5. Total Fertility Rate is at 6.2 births per woman in Zambia. This implies that:

• A. Zambian women will give birth to 6.2 children on average during their childbearing years.
• B. 6.2% of the time she will be pregnant during her childbearing years.
• C. 6.2% of her deliveries will not be successful.
• D. 6.2% of women will require medical intervention to become pregnant.

Correct answer: A

Rationale: A Total Fertility Rate of 6.2 means that a woman will give birth to an average of 6.2 children during her childbearing years. The correct answer is A as it accurately reflects the concept of Total Fertility Rate. Choice B is incorrect as it misinterprets the concept by equating it to a percentage of time being pregnant. Choice C is incorrect as it does not relate to the Total Fertility Rate but rather to the success rate of deliveries. Choice D is incorrect as it introduces the idea of medical intervention, which is not directly related to the Total Fertility Rate.

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