a client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding speculum examination reveals 2 to 3

HESI RN

Reproductive Health Exam Questions And Answers

1. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

A. Threatened abortion
B. Inevitable abortion
C. Complete abortion
D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

2. At 6-8 weeks of pregnancy, the breast changes include:

A. Colostrum can be expressed.
B. Breasts become tender.
C. Montgomery's tubercles are prominent.
D. Nipples become prominent and mobile.

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

3. What is another name for the breast?

A. Sebaceous glands
B. Racemose glands
C. Mammary glands
D. Axillary glands

Correct answer: C

Rationale: The correct answer is C: Mammary glands. The mammary glands are the specific glands in the breast responsible for producing milk. Sebaceous glands (choice A) are oil-producing glands in the skin, racemose glands (choice B) are not a recognized term, and axillary glands (choice D) refer to glands found in the armpit region, not the breast.

4. Which of the following are types of induced abortions?

A. Therapeutic abortion
B. Missed abortion
C. Inevitable abortion
D. Threatened abortion

Correct answer: A

Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.

5. Which animal is an ovoviviparous animal?

A. Basking shark
B. Bonobo
C. Blue shark
D. None of the above

Correct answer: C

Rationale: The correct answer is the Blue shark. Ovoviviparous animals produce eggs that develop inside the body of the parent, and the offspring are born alive. The basking shark does not fall under this category as it is ovoviviparous, meaning it lays eggs that hatch inside the female's body. The bonobo is a separate species and not relevant to the question.