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 causes the changes in appearance seen in boys at the time of puberty?
- A. Prolactin
- B. Adrenaline
- C. Estrogen
- D. Testosterone
Correct answer: D
Rationale: During puberty, boys experience physical changes such as growth of facial and body hair, deepening of the voice, and muscle development. These changes are primarily driven by the hormone testosterone. Testosterone is responsible for the development of male secondary sexual characteristics. Therefore, the correct answer is testosterone. Choices A, B, and C are incorrect because prolactin, adrenaline, and estrogen do not play a significant role in the development of male secondary sexual characteristics during puberty.
3. Which of the following are layers of endometrium in pregnancy EXCEPT?
- A. Decidua compacta
- B. Decidua spongiosum
- C. Decidua functionalis
- D. Decidua basalis
Correct answer: C
Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.
4. 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.
5. Which female reproductive organ is positioned directly posterior to the bladder?
- A. Uterine tube
- B. Vagina
- C. Uterus
- D. Ovaries
Correct answer: C
Rationale: The correct answer is the uterus. The uterus is positioned directly posterior to the bladder in the female reproductive system. The uterine tube (choice A) is also known as the fallopian tube, which is not positioned directly posterior to the bladder. The vagina (choice B) is located below the uterus and not directly posterior to the bladder. The ovaries (choice D) are located on either side of the uterus, but they are not positioned directly posterior to the bladder.
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