HESI RN
Reproductive Health Exam
1. What is the primary use of Bromocriptine?
- A. Relieve constriction ring.
- B. Manage post-partum hemorrhage.
- C. Affect milk production.
- D. Be used in pre-eclampsia.
Correct answer: C
Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.
2. 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.
3. What should be included in the differential diagnosis of ectopic pregnancy?
- A. Inevitable abortion
- B. Dysmenorrhea
- C. Twisted ovarian cyst
- D. Fibroids
Correct answer: C
Rationale: In the differential diagnosis of ectopic pregnancy, conditions such as twisted ovarian cysts should be considered. Twisted ovarian cysts can present with similar symptoms to ectopic pregnancy, making it important to include them in the differential diagnosis. Choices A, B, and D are not typically part of the differential diagnosis of ectopic pregnancy. Inevitable abortion refers to an imminent miscarriage, dysmenorrhea is characterized by painful menstruation, and fibroids are benign growths in the uterus, none of which are directly related to ectopic pregnancy.
4. Appropriate Technologies and Skills:
- A. Must be selected according to universal standards
- B. Involves ensuring the woman delivers at the hospital
- C. Requires specific qualifications such as being a nurse
- D. Necessitates the presence of a doctor at the service providing facility
Correct answer: A
Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.
5. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:
- A. 2 months
- B. 3 months
- C. 4 months
- D. 5 months
Correct answer: C
Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.
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