HESI RN
Reproductive System Exam Questions
1. A diet rich in _______ controls menopause symptoms:
- A. Carbohydrates
- B. Soya items
- C. Fruits and veggies
- D. Eggs and meat
Correct answer: B
Rationale: A diet rich in soya items can help control menopause symptoms. Soya contains phytoestrogens, which are plant-based compounds that mimic the hormone estrogen in the body. These compounds may help alleviate menopause symptoms such as hot flashes and night sweats. Choice A, Carbohydrates, do not specifically target menopause symptoms. Choice C, Fruits and veggies, while generally healthy, do not have the same impact on menopause symptoms as soya. Choice D, Eggs and meat, do not contain phytoestrogens like soya, making them less effective in managing menopause symptoms.
2. Which of the following Leopold maneuvers assesses the fetal lie?
- A. Fundal grip
- B. Umbilical grip
- C. Pawlick grip
- D. Pelvic grip
Correct answer: A
Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.
3. 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.
4. 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.
5. Which of the following is not a characteristic of an ideal contraceptive?
- A. Irreversible
- B. Easily available
- C. User-friendly
- D. Effective with least side effects
Correct answer: A
Rationale: The correct answer is A: 'Irreversible.' An ideal contraceptive should not be irreversible because it should allow individuals to have the option to discontinue its use if desired. Choices B, C, and D are characteristics of an ideal contraceptive. Contraceptives should be easily available to ensure widespread accessibility, user-friendly to promote proper and consistent use, and effective with minimal side effects to maximize safety and tolerability.
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