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. At what age does the first menstrual period typically occur?
- A. 9 and 15 years
- B. 2 and 10 years
- C. 1 and 5 years
- D. 18 and 20 years
Correct answer: A
Rationale: The first menstrual period, known as menarche, typically occurs between the ages of 9 and 15 years. This marks the onset of puberty in females. Choices B, C, and D are incorrect because the first menstrual period does not occur as early as 2 years old, 1 year old, or as late as 18 to 20 years old.
3. How does human sperm move?
- A. Flagella
- B. Cilia
- C. Neutrophils
- D. None of the above
Correct answer: A
Rationale: Human sperm moves using flagella, which are whip-like structures that aid in propulsion. Flagella are tail-like structures found in sperm cells and help them swim towards the egg for fertilization. Cilia are shorter, hair-like structures that are not involved in the movement of sperm. Neutrophils are a type of white blood cell involved in the immune response and are not related to sperm locomotion.
4. 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.
5. What is the role of the corpus luteum during the menstrual cycle?
- A. The corpus luteum produces estrogen to maintain the endometrium.
- B. The corpus luteum produces progesterone to maintain the endometrium.
- C. The corpus luteum produces testosterone to inhibit ovulation.
- D. The corpus luteum has no significant role during the menstrual cycle.
Correct answer: B
Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.
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