HESI RN
Reproductive System Exam Questions
1. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system
- A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
- B. The heart is displaced downward and to the right, and blood pressure increases.
- C. The cardiovascular system remains unchanged during pregnancy.
- D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.
Correct answer: A
Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.
2. Which of the following is included in a pelvic examination?
- A. Inspection of internal genitalia
- B. Inspection of the cervix and vaginal wall
- C. Palpation of the vagina and vaginal cervix by digital examination
- D. Rectal examination
Correct answer: B
Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.
3. Respect in reproductive health care involves:
- A. Talking to patients politely and managing their care compassionately and non-judgmentally.
- B. Ensuring that all patients sign a consent form.
- C. Ignoring patient requests for privacy.
- D. Disregarding patient concerns during care.
Correct answer: A
Rationale: Respect in reproductive health care entails treating patients with politeness, compassion, and without judgment. Choice A is the correct answer as it aligns with the principles of respect and patient-centered care. It is essential to communicate respectfully, show compassion, and address patients' needs without passing judgment. Choices B, C, and D are incorrect. Ensuring consent through a form is important but not the sole aspect of respect. Ignoring patient requests for privacy goes against patient rights, and disregarding patient concerns is contrary to providing comprehensive care.
4. According to the Medical Termination of Pregnancy (MTP) Act, 1971, how many weeks of pregnancy is Medical Termination of Pregnancy considered safe up to?
- A. 8 Weeks
- B. 12 Weeks
- C. 18 Weeks
- D. 6 Weeks
Correct answer: B
Rationale: According to the Medical Termination of Pregnancy (MTP) Act, 1971, Medical Termination of Pregnancy is considered safe up to 12 weeks of pregnancy. This timeframe is crucial to ensure the safety and well-being of the individual undergoing the procedure. Choices A, C, and D are incorrect because they do not align with the legal provisions outlined in the MTP Act, 1971.
5. 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.
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