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. At what point is a fetus considered viable?

• A. 26 weeks
• B. 28 weeks
• C. 37 weeks
• D. 12 weeks

Correct answer: C

Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.

3. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?

• A. A carneous mole.
• B. A hydatidiform mole.
• C. A vesicular mole.
• D. A chorionic mole.

Correct answer: A

Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.

4. What is the most important factor in ensuring accessibility in reproductive health services?

• A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
• B. Requiring patients to access multiple services to get the care they need.
• C. Providing reproductive health services only to those who can afford it.
• D. Providing health services only in urban areas.

Correct answer: A

Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.

5. Amniocentesis, a prenatal diagnostic test used to determine fetal sex, genetic anomalies, and biochemical abnormalities, is based on:

• A. The karyotyping of the amniotic fluid
• B. Chorionic villus sampling
• C. Umbilical cord blood sampling
• D. Ultrasound

Correct answer: A

Rationale: The correct answer is A. Amniocentesis involves the analysis of the fetal cells present in the amniotic fluid, which is extracted from the amniotic sac surrounding the developing fetus. This fluid contains cells shed by the fetus, which can be cultured and analyzed to obtain a karyotype, providing information about the fetal sex, genetic anomalies, and biochemical abnormalities. Choices B, C, and D are incorrect because chorionic villus sampling involves obtaining a sample of the chorionic villi from the placenta, not the amniotic fluid; umbilical cord blood sampling is typically used for other purposes like assessing the baby's blood for infections or genetic disorders; and ultrasound is a diagnostic imaging technique that does not involve the analysis of fetal cells for genetic information.

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