HESI RN
Reproductive System Exam Quizlet
1. Which contraceptive option suppresses sperm motility and inhibits the implantation of the blastocyst?
- A. Copper-T
- B. Diaphragm
- C. Contraceptive pills
- D. Condom
Correct answer: A
Rationale: The correct answer is A, Copper-T. Copper-T is an intrauterine device that releases copper ions, which suppress sperm motility and inhibit the implantation of the blastocyst. This method mainly works by preventing fertilization and, if fertilization occurs, by making the endometrium less receptive to implantation. Choices B, C, and D are incorrect. The diaphragm is a barrier method that prevents sperm from reaching the cervix; contraceptive pills mainly work by suppressing ovulation and altering cervical mucus to prevent sperm from reaching the egg; condoms are barrier methods that prevent sperm from entering the vagina.
2. What is the role of relaxin hormone?
- A. Relaxation of the symphysis pubis.
- B. Stimulation of milk production.
- C. Stimulating the development of the nipple and duct system in the breast.
- D. None of the above.
Correct answer: A
Rationale: The correct answer is A: Relaxation of the symphysis pubis. Relaxin hormone is responsible for loosening the ligaments in the pelvic area, particularly the symphysis pubis, to prepare for childbirth. Choice B, stimulation of milk production, is incorrect as this is primarily regulated by prolactin. Choice C, stimulating the development of the nipple and duct system in the breast, is incorrect as this is mainly influenced by estrogen and progesterone during pregnancy. Therefore, the correct role of relaxin hormone is the relaxation of the symphysis pubis.
3. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus
- A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
- B. The uterus decreases in size during pregnancy and remains rigid.
- C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
- D. Uterus becomes more rigid and hypertrophies.
Correct answer: A
Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.
4. Through which arteries does the blood supply to the external genitalia primarily occur?
- A. Femoral arteries
- B. Inguinal arteries
- C. Pudendal arteries
- D. Internal iliac arteries
Correct answer: C
Rationale: The correct answer is C: Pudendal arteries. The pudendal arteries are responsible for supplying blood to the external genitalia. These arteries specifically provide blood flow to the perineum, including the external genitalia. Choice A, Femoral arteries, are not primarily responsible for supplying blood to the external genitalia. Choice B, Inguinal arteries, do not supply blood directly to the external genitalia. Choice D, Internal iliac arteries, are not the main suppliers of blood to the external genitalia.
5. What is the role of the corpus luteum during the menstrual cycle?
- A. The corpus luteum produces estrogen to maintain the endometrium.
- B. The corpus luteum produces progesterone to maintain the endometrium.
- C. The corpus luteum produces testosterone to inhibit ovulation.
- D. The corpus luteum has no significant role during the menstrual cycle.
Correct answer: B
Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.
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