HESI RN
Reproductive Health Exam Questions And Answers
1. Abortion is defined as:
- A. Bleeding per vaginum in early pregnancy
- B. Willingness to terminate pregnancy
- C. Expulsion of products of conception after the 28th week of gestation
- D. Expulsion of products of conception before the 28th week of gestation
Correct answer: D
Rationale: Abortion is defined as the expulsion of products of conception before the 28th week of gestation. Choice A is incorrect as it describes bleeding in early pregnancy, not the definition of abortion. Choice B is incorrect as it refers to the willingness to terminate a pregnancy rather than the actual act of expulsion. Choice C is incorrect as it defines abortion as the expulsion of products of conception after the 28th week of gestation, which is considered a stillbirth.
2. During a well-baby exam, a nurse finds that a 2-month-old's right testicle is not descended into the scrotum, but the left one is palpable. What should the nurse do?
- A. Ask if the right testis has been seen in the scrotum before
- B. Address potential concerns about future fertility
- C. Schedule an ultrasound to confirm the position of the testicle
- D. Prepare to obtain a urine specimen for culture
Correct answer: A
Rationale: The correct answer is to ask if the right testis has been seen in the scrotum before. The initial step in managing an undescended testicle is to determine if it has been previously observed in the scrotum or if this is a new finding. This information is crucial in deciding the next course of action. Choice B is incorrect because addressing future fertility concerns comes after confirming the status of the testicle. Choice C is unnecessary at this stage as the first step is to gather more history. Choice D is unrelated to the issue described and is not indicated in this scenario.
3. A loading dose of terbutaline (Brethine) 250 mcg IV is prescribed for a client in preterm labor. Brethine 20 mg is added to 1,000 mL of D5W. How many milliliters of the solution should the nurse administer?
- A. 45
- B. 15 mL
- C. 4
- D. 13
Correct answer: D
Rationale: To calculate the amount of terbutaline to administer, first convert the dose to the same unit. 250 mcg = 0.25 mg. Next, set up a proportion: 20 mg is to 1000 mL as 0.25 mg is to X mL. Cross multiply and solve for X: 20 × X = 0.25 × 1000. X = (0.25 × 1000) / 20 = 12.5 mL. Therefore, the nurse should administer 13 mL of the solution. Choice A is incorrect as it does not reflect the correct calculation. Choice B is incorrect as it does not consider the accurate conversion and calculation. Choice C is incorrect as it is not the result of the correct proportion calculation.
4. A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states 'I don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects.' The nurse should understand that
- A. A referral is needed to the psychiatrist who is to provide the client with answers
- B. The client has a right to know about the prescribed medications
- C. Such education is an independent decision of the individual nurse whether or not to teach clients about their medications
- D. Clients with schizophrenia are at a higher risk of psychosocial complications when they know about their medication side effects
Correct answer: B
Rationale: The correct answer is B. The client has a legal right to be informed about their treatment, including medication uses and side effects, as part of informed consent. This helps ensure that the client can make an informed decision about their care. Choice A is incorrect because the nurse can provide the client with information about their medications. Choice C is incorrect as it is not an independent decision of the nurse but a professional responsibility to educate clients. Choice D is incorrect as knowledge about medication side effects can actually empower clients to manage their condition effectively.
5. Which of the following is a complication of abortions?
- A. Malnutrition
- B. Peritoneum
- C. Fibroids
- D. Septicaemia
Correct answer: D
Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.