Nursing Elites

1. Which of the following is a common presentation in women with polycystic ovarian syndrome?

• A. Oligomenorrhea, obesity, and hirsutism
• B. Amenorrhea, generalized hair loss, and weight gain
• C. Repeated ectopic pregnancies and chronic pelvic pain
• D. Fatigue, body aches, and menorrhagia

Correct answer: A

Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.

2. _______ is a lytic enzyme released by the sperm.

• A. Hyaluronidase
• B. Trypsin
• C. Helicase
• D. None of the above

Correct answer: A

Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.

3. Which hormone regulates the production of milk after childbirth?

• A. Prolactin
• B. Oxytocin
• C. Estrogen
• D. Progesterone

Correct answer: A

Rationale: The correct answer is Prolactin. Prolactin is the hormone responsible for regulating the production of milk after childbirth. It stimulates the mammary glands in the breasts to produce milk. Oxytocin, on the other hand, is responsible for the ejection of milk from the breasts. Estrogen and progesterone play roles in the menstrual cycle and pregnancy but are not directly involved in milk production. Therefore, choices B, C, and D are incorrect.

4. To ensure the provision of appropriate services for overcoming infertility barriers to the achievement of reproductive intentions, Integrated Reproductive Health has incorporated a component of:

• A. Infertility
• B. Safe abortions
• C. STIs and HIV
• D. Family Planning

Correct answer: A

Rationale: The correct answer is A: Infertility. Integrated Reproductive Health incorporates a component focused on infertility to address barriers to achieving reproductive intentions. This inclusion is crucial as infertility can be a significant obstacle to reproductive health. Choice B, safe abortions, is incorrect as it is not directly related to overcoming infertility barriers. Choice C, STIs and HIV, while important for reproductive health, is not specifically addressing infertility. Choice D, family planning, although relevant for reproductive health, is not the primary focus when addressing infertility barriers.

5. In Reproductive Health services, decision-making about RH matters is mostly done by:

• A. The Woman's parents
• B. The Man's parents
• C. The Husband
• D. The Wife

Correct answer: C

Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.

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