Nursing Elites

1. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

2. Outlet of the true pelvis anteriorly bounded by:

• A. Ischiopubic arch (T)
• B. Linea terminalis (F)
• C. Coccyx (T)
• D. Promontory of the sacrum (F)

Correct answer: A

Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.

3. What is one role of the hormone estrogen?

• A. Stimulates the development of the milk-producing tissue.
• B. Stimulates the production of lactoferrin.
• C. Stimulates the development of the nipple and duct system in the breast.
• D. Stimulates the secretion of relaxin.

Correct answer: A

Rationale: The correct answer is A: Estrogen stimulates the development of the milk-producing tissue in the breast. This hormone is essential in preparing the breast for milk production. Choice B is incorrect because lactoferrin production is not a primary role of estrogen. Choice C is incorrect as estrogen primarily influences the development of the breast tissue rather than specifically the nipple and duct system. Choice D is incorrect because relaxin secretion is not a function typically associated with estrogen.

4. What is required for privacy in reproductive health services?

• A. Covering windows and placing partitions between examination areas.
• B. Placing examination tables so that women will be exposed during exams.
• C. Allowing healthcare staff to discuss patients openly in the clinic.
• D. Forcing patients to undergo procedures without proper explanation.

Correct answer: A

Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.

5. A woman is considered to be in menopause if she has experienced the cessation of her menses for a period of:

• A. 6 months
• B. 12 months
• C. 18 months
• D. 24 months

Correct answer: B

Rationale: Menopause is defined as the cessation of menses for 12 months. This period is significant because it indicates the end of a woman's reproductive years. Choices A, C, and D are incorrect as they do not align with the established criteria for defining menopause.

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