HESI RN
Reproductive System Exam Questions
1. At 34-40 weeks of pregnancy, the breast changes include:
- A. Nipples become prominent and mobile.
- B. Colostrum can be expressed.
- C. Breasts become tender.
- D. Montgomery's tubercles are prominent.
Correct answer: D
Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.
2. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:
- A. Oligomenorrhea
- B. Menorrhagia
- C. Metrorrhagia
- D. Polymenorrhea
Correct answer: A
Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.
3. Which of the following is an example of an oviparous animal?
- A. Pigeon
- B. Elephant
- C. Sheep
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: Pigeon. Oviparous animals are those that lay eggs, and pigeons fall under this category. Choice B, Elephant, is incorrect because elephants are viviparous, giving birth to live young. Choice C, Sheep, is also incorrect as sheep are viviparous animals. Choice D, None of the above, is not the correct answer as a pigeon is indeed an example of an oviparous animal.
4. Which hormone regulates the production of milk after childbirth?
- A. Prolactin
- B. Oxytocin
- C. Estrogen
- D. Progesterone
Correct answer: A
Rationale: The correct answer is Prolactin. Prolactin is the hormone responsible for regulating the production of milk after childbirth. It stimulates the mammary glands in the breasts to produce milk. Oxytocin, on the other hand, is responsible for the ejection of milk from the breasts. Estrogen and progesterone play roles in the menstrual cycle and pregnancy but are not directly involved in milk production. Therefore, choices B, C, and D are incorrect.
5. Which of the following is incorrect about oral contraceptive pill 'Saheli'?
- A. It is taken by females
- B. It has very few side effects
- C. It is a steroidal preparation
- D. It is 'Once a week' pill
Correct answer: C
Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.
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