Nursing Elites

1. What is the most common symptom in all clinical types of abortion EXCEPT:

• A. Lower abdominal pain
• B. Per vaginal bleeding
• C. Show
• D. Backache

Correct answer: C

Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.

2. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

3. In the past, when was a woman only allowed to access Family planning methods?

• A. when she was married
• B. when she had more than four children
• C. when she produced a letter of consent from the husband
• D. when the doctors recommended

Correct answer: C

Rationale: In the past, women were often required to produce a letter of consent from their husband to access family planning services. This requirement stemmed from traditional beliefs and societal norms that placed men in control of such decisions. Choice A is incorrect because marital status alone did not determine access to family planning. Choice B is incorrect because the number of children a woman had did not dictate her access to family planning. Choice D is incorrect because medical recommendations alone did not influence a woman's access to family planning services in the past.

4. Expanded access to family planning is facilitated by the use of:

• A. The private sector and social marketing
• B. Community-based programs
• C. Information, Education, and Communication
• D. All of the above

Correct answer: D

Rationale: Expanded access to family planning is achieved through various means, including utilizing the private sector, employing social marketing strategies, implementing community-based programs, and emphasizing Information, Education, and Communication initiatives. Each of the options plays a crucial role in enhancing access to family planning services. Therefore, the correct answer is 'All of the above.' Option A focuses on involving the private sector and social marketing, which are essential components. Option B emphasizes community-based programs, which are another key aspect. Option C highlights the significance of Information, Education, and Communication in promoting family planning. As all these strategies are integral to expanding access to family planning, the most comprehensive answer is 'All of the above.'

5. Which structure maintains the uterus in an anteverted and anteflexed position?

• A. Round ligaments
• B. Broad ligaments
• C. Cardinal ligaments
• D. Pubocervical ligaments

Correct answer: A

Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.

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