HESI RN
Reproductive Health Exam
1. Appropriate Technologies and Skills:
- A. Must be selected according to universal standards
- B. Involves ensuring the woman delivers at the hospital
- C. Requires specific qualifications such as being a nurse
- D. Necessitates the presence of a doctor at the service providing facility
Correct answer: A
Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.
2. What is the role of the corpus luteum during the menstrual cycle?
- A. The corpus luteum produces estrogen to maintain the endometrium.
- B. The corpus luteum produces progesterone to maintain the endometrium.
- C. The corpus luteum produces testosterone to inhibit ovulation.
- D. The corpus luteum has no significant role during the menstrual cycle.
Correct answer: B
Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.
3. What is a characteristic of threatening abortion?
- A. Os open.
- B. Firm contracted uterus.
- C. Heavy bleeding.
- D. Severe cramping.
Correct answer: B
Rationale: Threatening abortion is characterized by a firm contracted uterus with an open os. This presentation indicates a risk of miscarriage. Choice A ('Os open') is not specific enough and does not fully describe the condition. Choices C ('Heavy bleeding') and D ('Severe cramping') can also be present in threatening abortion, but the primary characteristic is a firm contracted uterus with an open os.
4. What is dysmenorrhoea?
- A. Heavy menstruation
- B. Light menstruation
- C. Painful menstruation
- D. Infrequent menstruation
Correct answer: C
Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.
5. Which one of the following is not associated with poor maternal outcome?
- A. APH
- B. PPH
- C. Cord prolapse
- D. Pre-eclampsia
Correct answer: C
Rationale: Cord prolapse is not typically associated with poor maternal outcomes. Acute placental hemorrhage (APH - choice A) and postpartum hemorrhage (PPH - choice B) can lead to maternal morbidity and mortality due to excessive blood loss. Pre-eclampsia (choice D) is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, which can result in severe maternal complications if not managed promptly. Cord prolapse, though concerning for fetal well-being, does not inherently pose direct risks to maternal health if managed appropriately, making it the correct answer in this context.
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