HESI RN
Reproductive System Exam Questions
1. According to the Medical Termination of Pregnancy (MTP) Act, 1971, how many weeks of pregnancy is Medical Termination of Pregnancy considered safe up to?
- A. 8 Weeks
- B. 12 Weeks
- C. 18 Weeks
- D. 6 Weeks
Correct answer: B
Rationale: According to the Medical Termination of Pregnancy (MTP) Act, 1971, Medical Termination of Pregnancy is considered safe up to 12 weeks of pregnancy. This timeframe is crucial to ensure the safety and well-being of the individual undergoing the procedure. Choices A, C, and D are incorrect because they do not align with the legal provisions outlined in the MTP Act, 1971.
2. How can the need to respect clients' rights to informed consent be attained in quality of care?
- A. by providing adequate information and counseling
- B. by forcing all patients scheduled for surgery to sign the consent form
- C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
- D. by simply telling the patient to sign the consent form
Correct answer: A
Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.
3. Which of the following is not a complication of menopause?
- A. Fractures
- B. Alzheimer's disease
- C. Congestive heart failure
- D. Painful intercourse
Correct answer: C
Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes, and painful intercourse due to vaginal dryness and thinning of tissues. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication associated with menopause.
4. At 34-40 weeks of pregnancy, the breast changes include:
- A. Nipples become prominent and mobile.
- B. Colostrum can be expressed.
- C. Breasts become tender.
- D. Montgomery's tubercles are prominent.
Correct answer: D
Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.
5. 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.
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