HESI RN
Reproductive Health Exam
1. At 16 weeks of pregnancy, the breast changes include:
- A. Montgomery's tubercles are prominent.
- B. Darkening of the nipple.
- C. Prickling, tingling sensation.
- D. Colostrum can be expressed.
Correct answer: C
Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.
2. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:
- A. Oophoritis
- B. Endometritis
- C. Salpingectomy
- D. Salpingitis
Correct answer: D
Rationale: Pelvic Inflammatory Disease (PID) is known to affect the fallopian tubes, leading to inflammation, which is termed as salpingitis. Choice A, Oophoritis, refers to inflammation of the ovaries, not the fallopian tubes. Choice B, Endometritis, is inflammation of the endometrium, the inner lining of the uterus, not the fallopian tubes. Choice C, Salpingectomy, is a surgical procedure to remove a fallopian tube and is not a condition caused by PID.
3. What is the purpose of Hysterosalpingo-contrast Sonography?
- A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
- B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
- C. Diagnose ovarian cancer using MRI technology.
- D. Detect cancer cells in the cervix.
Correct answer: A
Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.
4. What does Integrated Reproductive Health entail?
- A. Women of childbearing age
- B. Women and under-five children only
- C. Men, women, adolescents, youth, and children
- D. Pregnant women only
Correct answer: C
Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.
5. Which hormone is primarily responsible for the development of female secondary sexual characteristics?
- A. Progesterone
- B. Testosterone
- C. Estrogen
- D. Oxytocin
Correct answer: C
Rationale: Estrogen is primarily responsible for the development of female secondary sexual characteristics. Progesterone, while important in the menstrual cycle and pregnancy, is not primarily responsible for secondary sexual characteristics. Testosterone is the primary male sex hormone. Oxytocin is involved in labor, lactation, and social bonding, but not in the development of female secondary sexual characteristics.
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