NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 226
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1. In Duvall’s eight developmental stages of a family life cycle, couples come under:
a. Stage 1
b. Stage 7
c. Stage 8
d. Stage 5
Answer: a. Stage 1
Description:This means that when a family is in the early stages of forming and establishing itself, such as when a couple first gets married or starts living together, they are in Stage 1 of Duvall's family life cycle. This stage is characterized by the initial formation of the family unit and the adjustments and changes that occur as the couple begins their journey together.
2. A newly married healthy couple is asking for the best method of contraception and which of the following methods a nurse will advise?
a. Barrier method
b. Rhythm method
c. Intrauterine devices
d. Combined oral pills
Answer: d. Combined oral pills
Description:Combined oral contraceptive pills, often referred to as "the pill," are a common and effective method of contraception when used correctly. They contain hormones that prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and altering the uterine lining. It's a reliable choice for many couples when taken as directed and can be easily discussed with and prescribed by a healthcare provider. However, the choice of contraception should be based on the couple's specific needs and preferences, so it's important for them to have a discussion with a healthcare professional to determine the most suitable option for them.
3. The best time for insertion of I.U.C.D in women in:
a. Within first week of cessation of menstrual period
b. Fourteen days after menstrual period
c. One week before menstrual period
d. During menstrual period
Answer: a. Within first week of cessation of menstrual period
Description:Inserting an IUCD shortly after the menstrual period has ended is a common recommendation because the cervix is typically more open and the risk of pregnancy is lower at this time. However, the exact timing may vary depending on the type of IUCD and a woman's individual circumstances, so it's essential to consult with a healthcare provider for personalized advice and proper insertion.
4. Commonest side effect of copper-T is:
a. Pain
b. Bleeding
c. Vaginal discharge
d. Pelvic inflammation
Answer: b. Bleeding
Description:Many women using a Copper-T IUD may experience increased menstrual bleeding or irregular periods as a side effect. This is because copper IUDs work by creating an inflammatory response in the uterus, which can lead to heavier or prolonged menstrual bleeding in some individuals. However, these side effects can vary from person to person, and not everyone will experience them. If someone has concerns about their IUD or its side effects, they should consult with their healthcare provider for guidance and possible adjustments.
5. Best response from a nurse to the woman who missed single dose of oral contraceptive pills?
a. Take the missed pill now and continue the course
b. Take 2 pills the next day and continue with the course
c. Discontinue the course because OCP has no more effect
d. Use barrier technique
Answer: b. Take 2 pills the next day and continue with the course
Description:A women who misses single dose of OCP should take 2 pills on next day and continue with the same cycle.
6. Absolute contraindication to the OCP includes:
a. Thromboembolism
b. Liver disease
c. Ca breast
d. All of the above,
Answer: d. All of the above,
Description:All three conditions listed – thromboembolism (blood clots), liver disease, and a history of breast cancer (Ca breast) – are absolute contraindications to the use of oral contraceptive pills. These conditions pose significant health risks, and using OCPs in such cases can be dangerous and should be avoided. It's crucial for individuals to discuss their medical history and any potential contraindications with a healthcare provider before starting or continuing with any form of hormonal contraception.
7. On prescription of oral pills to the user, the health worker will ask about the following; EXCEPT:
a. Number of live children
b. Calf tenderness
c. Headache
d. Swelling o feet
Answer: a. Number of live children
Description:Number of live children is not taken into account while prescribing OCP.
8. Chemical components of Mala-D are:
a. D-norgestrel and ethinylestradiol
b. D-norgestrel and progestogen
c. Progestogen
d. Norethisterone acetate
Answer: a. D-norgestrel and ethinylestradiol
Description:MALA-D contains combination of D-norgestrel and ethynyloestradiol.
9. Which of the following is the terminal method of contraceptive in male?
a. IUD
b. Chemical methods
c. Vasectomy
d. Condom
Answer: c. Vasectomy
Description:Terminal method of contraception is vasectomy. Others are temporary method which are all reversible.
10. The metal which is commonly used for family planning is:
a. Copper
b. Aluminum
c. Iron
d. Silver
Answer: a. Copper
Description:Copper is commonly used in intrauterine devices (IUDs) as a form of long-acting reversible contraception (LARC) for family planning. Copper IUDs work by releasing copper ions into the uterus, which has a contraceptive effect by affecting sperm motility and fertilization of the egg. They are a highly effective and durable method of contraception.
11. Which of the following is a common side effect of an intrauterine device?
a. Vaginal bleeding
b. Pelvic inflammatory disease
c. Uterine perforation
d. Ectopic pregnancy
Answer: a. Vaginal bleeding
Description:A common side effect of an intrauterine device (IUD) is vaginal bleeding, especially in the initial months after insertion. Many women experience changes in their menstrual bleeding patterns, which can include heavier or longer periods. This is a normal side effect and often improves over time. While the other options (b. Pelvic inflammatory disease, c. Uterine perforation, and d. Ectopic pregnancy) are potential complications associated with IUDs, they are not common side effects. It's essential for individuals to be aware of both the potential side effects and complications and to consult with a healthcare provider for proper guidance and management.
12. Which of the following methods of contraception can prevent sexually transmitted disease?
a. Oral pills
b. Condom
c. Copper-T
d. Cervical cap
Answer: b. Condom
Description:The use of oral contraceptives has been associated with a slightly increased risk of breast cancer. Research suggests that this risk may be higher in women who have used oral contraceptives for an extended period, but the overall increase in risk is relatively small, especially when compared to other factors that can influence breast cancer risk, such as age and family history. The other options listed (b. Ovarian cancer, c. Endometrial cancer, and d. Hepatic adenoma) may have different associations with the use of oral contraceptives, but the most well-established link is with a slightly increased risk of breast cancer. It's essential for individuals to discuss the potential risks and benefits of using oral contraceptives with their healthcare provider based on their specific medical history and needs.
13. Which of the following neoplasm has been associated with the use of oral contraceptives?
a. Breast cancer
b. Ovarian cancer
c. Endometrial cancer
d. Hepatic adenoma
Answer: a. Breast cancer
Description:The use of oral contraceptives has been associated with a slightly increased risk of breast cancer. Research suggests that this risk may be higher in women who have used oral contraceptives for an extended period, but the overall increase in risk is relatively small, especially when compared to other factors that can influence breast cancer risk, such as age and family history. The other options listed (b. Ovarian cancer, c. Endometrial cancer, and d. Hepatic adenoma) may have different associations with the use of oral contraceptives, but the most well-established link is with a slightly increased risk of breast cancer. It's essential for individuals to discuss the potential risks and benefits of using oral contraceptives with their healthcare provider based on their specific medical history and needs.
14. Which one of the following is not an oral contraceptive pill?
a. Estrogen only, mini pill
b. Estrogen and progesterone, combined pill
c. Estrogen followed by progesterone, sequential pill
d. Cortisol only pill
Answer: d. Cortisol only pill
Description:Cortisol is not typically used as an oral contraceptive pill. The other options listed are common types of oral contraceptive pills used for birth control: a. Estrogen only, mini pill - These are also known as progestin-only pills (POP) or "mini pills," which contain only a progestin hormone, not estrogen. b. Estrogen and progesterone, combined pill - These pills contain a combination of both estrogen and progestin hormones. c. Estrogen followed by progesterone, sequential pill - These are less commonly used today and involve taking estrogen-only pills for a certain period, followed by combined estrogen and progestin pills. Cortisol, on the other hand, is a hormone produced by the adrenal glands and is not used as a contraceptive method.
15. Natural method of contraception is:
a. Coitus interruptus
b. Breastfeeding
c. Both a and b
d. Condom
Answer: c. Both a and b
Description:Both coitus interruptus (also known as the withdrawal method) and breastfeeding are considered natural methods of contraception: a. Coitus interruptus involves withdrawing the penis from the vagina before ejaculation to prevent sperm from entering the uterus. b. Breastfeeding, specifically a method known as the Lactational Amenorrhea Method (LAM), can provide some level of contraceptive protection during the postpartum period when a woman is exclusively breastfeeding her baby and has not yet resumed menstruation. However, it's important to note that both of these methods have limitations and are not as reliable as other forms of contraception, such as condoms or hormonal methods. If effective contraception is desired, it's advisable to consult with a healthcare provider to discuss the most suitable options.
16. The emergency contraceptive for woman is:
a. Mala-D
b. Mala-N
c. Levonorgestrel
d. Progesterone
Answer: c. Levonorgestrel
Description:Levonorgestrel is a common emergency contraceptive medication that can be used by women to prevent pregnancy after unprotected sex or contraceptive failure. It is often available over-the-counter under various brand names and is commonly referred to as the "morning-after pill." Levonorgestrel works by preventing or delaying ovulation and interfering with the fertilization process, reducing the risk of pregnancy when taken within a certain time frame after unprotected intercourse.
17. Which of the following is a natural contraceptive method?
a. Breastfeeding
b. Condom
c. Copper-T
d. IUD
Answer: a. Breastfeeding
Description:Breastfeeding, specifically a method known as the Lactational Amenorrhea Method (LAM), is considered a natural contraceptive method. It can provide some level of contraceptive protection during the postpartum period when a woman is exclusively breastfeeding her baby and has not yet resumed menstruation. However, LAM has specific criteria and limitations, and it may not be as reliable as other contraceptive methods. It's important for individuals to understand and use LAM correctly if they choose it as their method of contraception
18. Conventional contraceptives are:
a. IUD
b. Condom
c. Coitus interruptus
d. OCP
Answer: a. IUD
Description:Conventional contraceptives typically include options like: b. Condom c. Coitus interruptus d. OCP (Oral Contraceptive Pills) These are commonly used and well-known methods of contraception. IUD (Intrauterine Device) is also a contraceptive method but is not always classified as "conventional" because it is inserted into the uterus by a healthcare provider and provides long-term protection without the need for regular user involvement.
19. Spermicide used in contraceptive TODAY is:
a. Norethisterone
b. 9-Nanoxynol
c. Prostaglandin F2
d. MPA
Answer: b. 9-Nanoxynol
Description:9-Nanoxynol is a spermicide commonly used in contraceptive products, including various forms of barrier contraception like spermicidal creams, gels, and foams. Spermicides containing 9-Nanoxynol work by immobilizing and killing sperm, thereby reducing the risk of pregnancy when used in combination with other contraceptive methods such as condoms or diaphragms.
20. Barrier method are all; EXCEPT:
a. Diaphragm
b. Foam tablets
c. Vaginal sponges
d. Lippes loop
Answer: d. Lippes loop
Description:Lippes loop is not a barrier method of contraception. It is an intrauterine device (IUD), specifically a type of copper IUD. Barrier methods of contraception typically include options like diaphragms, foam tablets, and vaginal sponges, which create a physical barrier to prevent sperm from reaching the cervix or entering the uterus. IUDs work differently by altering the uterine environment and preventing fertilization.
21. Non medicated Intra Uterine Devices (IUDs) are called:
a. 3rd generation IUDs
b. 2nd generation IUDs
c. 1st generation IUDs
d. Multi-load devices
Answer: c. 1st generation IUDs
Description:Non-medicated Intrauterine Devices (IUDs) are often referred to as 1st generation IUDs. These devices are typically made of materials like stainless steel or copper and do not contain any additional medications or hormones. They work primarily by creating a hostile environment for sperm, preventing fertilization, and inhibiting implantation in the uterus.
22. Cu T380A IUD should be replaced once in:
a. 4 years
b. 6 years
c. 8 years
d. 10 years
Answer: d. 10 years
Description:The Copper T IUD is a long-acting reversible contraceptive (LARC) method that provides effective birth control for up to 10 years, depending on the specific product and manufacturer's recommendations. However, it's essential for individuals using this method to consult with their healthcare provider for guidance on when to replace it, as individual circumstances may vary.
23. IUCD of choice in a woman with menorrhagia is:
a. Lippes loop
b. Cu T 200
c. Cu T 380A
d. Progesterone containing IUCD
Answer: d. Progesterone containing IUCD
Description:Progesterone-containing IUCDs, such as the levonorgestrel-releasing IUD (e.g., Mirena), are known to reduce menstrual bleeding and are often recommended for women with menorrhagia. They work by releasing a small amount of progesterone locally in the uterus, which can lead to lighter periods in many individuals. However, the choice of IUCD should be based on an individual's specific needs and should be discussed with a healthcare provider.
24. Multiload device refers to:
a. 1st generation IUCD
b. 2nd generation IUCD
c. Oc,
d. Barrier contraceptive
Answer: b. 2nd generation IUCD
Description:The term "Multiload device" typically refers to a type of intrauterine contraceptive device (IUCD), and these devices are often considered as 2nd generation IUCDs. They are designed to provide contraception by releasing copper into the uterus, which creates a hostile environment for sperm, preventing fertilization. These devices are different from the 1st generation IUCDs, which were typically non-medicated and made of materials like stainless steel or copper.
25. Most effective Cu T is:
a. Cu T 380
b. Cu T 220
c. Cu T 200
d. ML-Cu-250
Answer: a. Cu T 380
Description:The Cu T 380 is known for its high contraceptive efficacy and is designed to provide effective birth control for an extended period. It is a long-acting reversible contraceptive (LARC) and is widely used for its effectiveness in preventing pregnancy.
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