HESI RN
Reproductive Health Exam
1. Amniocentesis, a prenatal diagnostic test used to determine fetal sex, genetic anomalies, and biochemical abnormalities, is based on:
- A. The karyotyping of the amniotic fluid
- B. Chorionic villus sampling
- C. Umbilical cord blood sampling
- D. Ultrasound
Correct answer: A
Rationale: The correct answer is A. Amniocentesis involves the analysis of the fetal cells present in the amniotic fluid, which is extracted from the amniotic sac surrounding the developing fetus. This fluid contains cells shed by the fetus, which can be cultured and analyzed to obtain a karyotype, providing information about the fetal sex, genetic anomalies, and biochemical abnormalities. Choices B, C, and D are incorrect because chorionic villus sampling involves obtaining a sample of the chorionic villi from the placenta, not the amniotic fluid; umbilical cord blood sampling is typically used for other purposes like assessing the baby's blood for infections or genetic disorders; and ultrasound is a diagnostic imaging technique that does not involve the analysis of fetal cells for genetic information.
2. Polymenorrhoea is defined as:
- A. Menstruation that occurs at an interval less than 35 days
- B. Menstruation that occurs at an interval greater than 35 days
- C. Menstruation that occurs at an interval less than 21 days
- D. Menstruation that occurs at an interval greater than 21 days
Correct answer: C
Rationale: Polymenorrhoea is defined as menstruation that occurs at intervals shorter than 21 days. Choice A is incorrect because it describes menstruation at intervals less than 35 days. Choice B is incorrect as it describes menstruation at intervals greater than 35 days. Choice D is incorrect as it describes menstruation at intervals greater than 21 days.
3. What do you call a system involving other government Ministries, Non-Governmental Organizations, Politicians, Policy makers, Senior managers, the Community, Church organizations, and other concerned bodies and users of services?
- A. Community participation
- B. Peer consultation
- C. Multi-sectoral approach
- D. Appropriate technology
Correct answer: C
Rationale: A multi-sectoral approach involves collaboration among various sectors and stakeholders to address complex issues comprehensively. In this context, it ensures that different entities work together to provide inclusive and effective services. Choice A, 'Community participation,' focuses more on the involvement of the community specifically. Choice B, 'Peer consultation,' pertains to seeking advice or input from peers within the same field. Choice D, 'Appropriate technology,' refers to the use of suitable technology for a particular situation, which is not the primary focus of the described system.
4. The follicular phase is to the __________ as the luteal phase is to the secretory phase.
- A. Postovulatory
- B. Menstrual
- C. Proliferative
- D. Ovulatory
Correct answer: C
Rationale: The correct answer is C: Proliferative. The follicular phase corresponds to the proliferative phase during the menstrual cycle, characterized by the development of ovarian follicles. The luteal phase, on the other hand, corresponds to the secretory phase when the endometrium prepares for implantation. Choices A, B, and D are incorrect because they do not accurately reflect the phases being compared in the question.
5. During fertilization, the portion of the decidua covering the blastocyst is called:
- A. Decidua basalis
- B. Decidua Vera
- C. Decidua parietalis
- D. Decidua capsularis
Correct answer: D
Rationale: During fertilization, the decidua capsularis is the specific portion of the decidua that covers the blastocyst, providing protection and support. Decidua basalis refers to the part of the decidua located at the site of implantation on the maternal side. Decidua vera is the remainder of the decidua lining the uterus. Decidua parietalis is the portion of the decidua that lines the rest of the uterine cavity, except for the site of implantation. Therefore, in the context of fertilization, the decidua capsularis is the correct answer.
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