Nursing Elites

1. Which of the following is not a complication of menopause?

• A. Fractures
• B. Alzheimer's disease
• C. Congestive heart failure
• D. Painful intercourse

Correct answer: C

Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.

2. At 3-4 weeks of pregnancy, the breast changes include:

• A. Darkening of the nipple.
• B. Prickling, tingling sensation.
• C. Breast becomes tender.
• D. Colostrum can be expressed.

Correct answer: C

Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.

3. Herpes simplex type 2 (HSV-2) does not cause cold sores of the lips:

• A. True.
• B. False.
• C. Depends on the person.
• D. Not enough information.

Correct answer: B

Rationale: Herpes simplex type 2 (HSV-2) typically causes genital herpes, not cold sores on the lips. Cold sores on the lips are commonly caused by herpes simplex type 1 (HSV-1). Therefore, the statement that HSV-2 causes cold sores of the lips is incorrect. Choice B, 'False,' is the correct answer. Choice A is incorrect because HSV-2 does not cause cold sores on the lips. Choice C, 'Depends on the person,' is incorrect as the cause of cold sores is predominantly linked to HSV-1. Choice D, 'Not enough information,' is also incorrect as this information is well-established in medical knowledge.

4. What prompted Zambia to implement family planning services?

• A. The nation started to experience the effects of rapid population growth on the economy and individual welfare.
• B. Donors provided free family planning pills.
• C. Mothers were delivering twice a year.
• D. There were too many abortions.

Correct answer: A

Rationale: The correct answer is A. Rapid population growth's impact on the economy and individual welfare prompted Zambia to implement family planning services. This is because a rapidly growing population can strain resources, lead to unemployment, poverty, and inadequate access to healthcare. Choice B is incorrect because the provision of free family planning pills by donors may have been a subsequent intervention rather than the initial reason for implementing family planning services. Choice C is irrelevant as the frequency of deliveries by mothers does not directly relate to the implementation of family planning services. Choice D is also incorrect as high abortion rates may be a consequence of inadequate family planning services rather than the reason for their implementation.

5. 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.

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