HESI RN
Reproductive Health Exam
1. Appropriate Technologies and Skills involve:
- A. Selecting technologies according to universal standards.
- B. Ensuring a doctor is present at the service-providing facility.
- C. Requiring that health care providers are nurses.
- D. Selecting technologies that are easy to use but not necessarily effective.
Correct answer: A
Rationale: The correct answer is A: 'Selecting technologies according to universal standards.' Appropriate technologies and skills involve choosing tools and methods based on universal standards to ensure effectiveness and efficiency. Choice B is incorrect because the presence of a doctor is not necessarily a defining factor for appropriate technologies and skills. Choice C is incorrect as appropriate technologies are not limited to being utilized only by nurses. Choice D is incorrect as the focus should be on selecting technologies that are both easy to use and effective, not one or the other.
2. When does a broad ligament haematoma occur?
- A. Rupture occurs in the mesenteric border of the tube.
- B. Rupture occurs in the ovarian ligament.
- C. Rupture occurs in the broad ligament.
- D. Rupture occurs in the uterine wall.
Correct answer: A
Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.
3. The endometrium is shed up to the basal layer during this phase of the menstrual cycle:
- A. Ovulation
- B. Regenerative
- C. Secretory
- D. Menstruation
Correct answer: D
Rationale: The correct answer is D. During the menstrual phase of the menstrual cycle, the endometrium is shed up to the basal layer. This shedding occurs as a result of decreased levels of estrogen and progesterone, leading to the breakdown and subsequent shedding of the endometrial lining. Choice A, ovulation, is incorrect as ovulation is the release of an egg from the ovary, which occurs during the mid-cycle. Choice B, regenerative, is incorrect as it does not specifically refer to the phase where the shedding of the endometrium occurs. Choice C, secretory, is incorrect as it refers to the phase where the endometrium thickens in preparation for possible implantation of a fertilized egg, not shedding.
4. Outlet of the true pelvis anteriorly bounded by:
- A. Ischiopubic arch (T)
- B. Linea terminalis (F)
- C. Coccyx (T)
- D. Promontory of the sacrum (F)
Correct answer: A
Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.
5. The letter 'T' in the Acronym 'GATHER' denotes:
- A. Ask the client about themselves - particular needs, obstetric and medical history
- B. Tell the client about modern FP methods available, and discuss each in detail
- C. Help the client choose a method and repeat information regarding the chosen method if necessary
- D. Explain how to use the method - what, where, when, and how
Correct answer: B
Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.
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