basal body temperature rise of is seen in the luteal phase due to thermogenic effects of a metabolite of progesterone in a normal cycle

HESI RN

Reproductive Health Exam

1. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

A. 0.1-0.5
B. 0.2-0.5
C. 1.0-2.0
D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

2. 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.

3. Which space is present between the bladder and the uterus?

A. Vesico-uterine pouch
B. Pubovesical pouch
C. Retro-uterine pouch
D. Recto-uterine pouch

Correct answer: A

Rationale: The correct answer is the vesico-uterine pouch. This space is specifically located between the bladder and the uterus. The pubovesical pouch is incorrect as it refers to the space between the pubic bone and the bladder. The retro-uterine pouch, also known as the pouch of Douglas, is located between the uterus and rectum. The recto-uterine pouch is not a recognized anatomical term, making it an incorrect choice.

4. In which part of the fallopian tube is tubal abortion most common?

A. Ampullary portion
B. Isthmus
C. Interstitial portion
D. Infundibulum

Correct answer: C

Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.

5. The GIFT technique is recommended for which of the following females?

A. Females who cannot produce an ovum
B. Females who cannot provide a suitable environment for fertilization
C. Females who cannot retain the embryo inside the uterus
D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.