at 16 weeks of pregnancy the breast changes include

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. Which of the following are types of induced abortions?

A. Therapeutic abortion
B. Missed abortion
C. Inevitable abortion
D. Threatened abortion

Correct answer: A

Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.

3. Inevitable abortion is characterized by:

A. Heavy bleeding.
B. Open os.
C. Severe cramping.
D. Light bleeding.

Correct answer: B

Rationale: Inevitable abortion is characterized by an open os. This condition is associated with heavy bleeding. While severe cramping can be present in inevitable abortion, the key characteristic is the open os, making choice B the correct answer. Choices A and D are incorrect because they do not specifically describe the defining feature of inevitable abortion, which is the open os.

4. Practices such as female genital mutilation and unsafe male circumcision are categorized as:

A. Harmful traditional practices
B. Encouraged in rural Zambia
C. Recommended in modern surgery and IRH
D. Safer sex practices

Correct answer: A

Rationale: Practices like female genital mutilation and unsafe male circumcision are considered harmful traditional practices due to the physical and psychological harm they cause. Choice A is correct as these practices are not safe or recommended. Choice B is incorrect, as harmful traditional practices are not encouraged anywhere. Choice C is incorrect as modern surgery and organizations like IRH aim to eliminate such practices, not recommend them. Choice D is incorrect as these practices are not related to safer sex practices but rather harmful practices that need to be eradicated.

5. Which of the following investigations is done in Pelvic Inflammatory Disease?

A. Paracentesis
B. Culdocentesis
C. Hysterectomy
D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.