HESI RN
Reproductive Health Exam
1. What is a cord inserted to the very edge of the placenta known as?
- A. Battledore insertion
- B. Placenta velamentosa
- C. Placenta accreta
- D. Vasa Praevia
Correct answer: A
Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.
2. Which of the following is a common presentation in women with polycystic ovarian syndrome?
- A. Oligomenorrhea, obesity, and hirsutism
- B. Amenorrhea, generalized hair loss, and weight gain
- C. Repeated ectopic pregnancies and chronic pelvic pain
- D. Fatigue, body aches, and menorrhagia
Correct answer: A
Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.
3. Inevitable abortion is characterized by:
- A. Heavy bleeding.
- B. Open os.
- C. Severe cramping.
- D. Light bleeding.
Correct answer: B
Rationale: Inevitable abortion is characterized by an open os. This condition is associated with heavy bleeding. While severe cramping can be present in inevitable abortion, the key characteristic is the open os, making choice B the correct answer. Choices A and D are incorrect because they do not specifically describe the defining feature of inevitable abortion, which is the open os.
4. What does Informed Consent mean?
- A. A patient has the right to know what a procedure involves before it is performed.
- B. Forcing all patients scheduled for surgery to sign a consent form.
- C. Telling the patient to sign the consent form without explanation.
- D. Allowing patients to undergo procedures without their consent.
Correct answer: A
Rationale: Informed Consent means that a patient has the right to be informed about what a procedure involves before it is performed. Choice B is incorrect because consent should not be forced, and patients should have the opportunity to understand what they are agreeing to. Choice C is incorrect as it goes against the essence of informed consent, which requires explanation. Choice D is incorrect as it contradicts the fundamental principle of requiring patient consent before procedures.
5. 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.
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