Nursing Elites

1. Which part of the female reproductive system remains blocked after tubectomy?

• A. Fallopian tube
• B. Cervix
• C. Uterine cavity
• D. None

Correct answer: A

Rationale: After a tubectomy procedure, the Fallopian tube remains blocked. This is the correct answer because tubectomy involves the surgical blocking or sealing of the Fallopian tubes to prevent eggs from reaching the uterus, thus preventing pregnancy. Choice B, the cervix, is incorrect as it is not blocked during a tubectomy. Choice C, the uterine cavity, is also incorrect as the procedure does not involve blocking this part of the reproductive system. Choice D, none, is incorrect as the purpose of tubectomy is to block the Fallopian tubes.

2. At 8-12 weeks of pregnancy, the breast changes include:

• A. Prickling, tingling sensation.
• B. Nipples become prominent and mobile.
• C. Darkening of the nipple.
• D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

3. Causes of metrorrhagia include:

• A. Cervical carcinoma
• B. Uterine polyp
• C. Cervical endometriosis
• D. Infections like Chlamydia

Correct answer: A

Rationale: Metrorrhagia refers to irregular menstrual bleeding that occurs between periods. Cervical carcinoma, a type of cancer that develops in the cervix, can lead to metrorrhagia. Uterine polyps, which are growths attached to the inner wall of the uterus, can also cause abnormal bleeding. While infections like Chlamydia can cause abnormal vaginal bleeding, they are not common causes of metrorrhagia. Cervical endometriosis, although a possible gynecological condition, is not a typical cause of metrorrhagia. Therefore, the correct answer is cervical carcinoma as it is a known cause of metrorrhagia, making the other options incorrect.

4. Appropriate Technologies and Skills:

• A. Must be selected according to universal standards
• B. Involves ensuring the woman delivers at the hospital
• C. Requires specific qualifications such as being a nurse
• D. Necessitates the presence of a doctor at the service providing facility

Correct answer: A

Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.

5. Which one is not a barrier method for birth control?

• A. Diaphragms
• B. Cervical caps
• C. Vaults
• D. Intrauterine Devices (IUDs)

Correct answer: D

Rationale: The correct answer is D, Intrauterine Devices (IUDs). Barrier methods of birth control physically block sperm from reaching the egg. Diaphragms, cervical caps, and vaults are examples of barrier methods as they create a barrier that prevents sperm from reaching the cervix. In contrast, IUDs work by altering the cervical mucus and uterine lining, making it difficult for sperm to reach the egg, but they do not physically block sperm like barrier methods do.

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