HESI RN
Reproductive Health Exam
1. Lactational Amenorrhoea Method (LAM) is best for:
- A. Clients who do not wish to have any more children
- B. Clients with a baby less than 6 months postpartum
- C. Clients who want to wait before having a first or another child
- D. Clients with several sexual partners
Correct answer: B
Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.
2. During menopause, what do ovaries stop producing?
- A. Progesterone and Estrogen
- B. Prolactin
- C. Human chorionic gonadotropin
- D. Oxytocin
Correct answer: A
Rationale: During menopause, the ovaries stop producing progesterone and estrogen. Progesterone and estrogen are hormones essential for the menstrual cycle and reproductive functions. Prolactin is a hormone responsible for milk production in the breasts and is not primarily produced by the ovaries. Human chorionic gonadotropin (hCG) is produced during pregnancy to support the production of progesterone and estrogen. Oxytocin is a hormone involved in labor and breastfeeding, not primarily produced by the ovaries.
3. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:
- A. 0.1-0.5
- B. 0.2-0.5
- C. 1.0-2.0
- D. 1.5-2.0
Correct answer: B
Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.
4. Which of the following methods is used for permanent contraception in males?
- A. Vasectomy
- B. Tubal ligation
- C. Condoms
- D. Coitus interruptus
Correct answer: A
Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.
5. What is Carboprost used for?
- A. Affects milk production.
- B. Relieve constriction ring.
- C. Management of post-partum haemorrhage.
- D. Induce labor.
Correct answer: C
Rationale: Carboprost is used in the management of post-partum haemorrhage. This medication helps to reduce excessive bleeding after childbirth. Choices A, B, and D are incorrect. Carboprost does not affect milk production, relieve constriction ring, or induce labor.
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