HESI RN
Reproductive Health Exam
1. What does confidentiality in reproductive health services mean?
- A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
- B. Sharing patient information with all healthcare staff.
- C. Sharing patient information with their family members.
- D. Allowing patient information to be discussed in public areas.
Correct answer: A
Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.
2. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
- B. Delay in arrival at a health facility
- C. Delay in initiating treatment
- D. Excessive blood loss
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
3. To minimize unsafe abortions, IRH has strengthened:
- A. The termination of pregnancy act
- B. The post-abortion care and counseling services
- C. The gender and violence unit of the police services
- D. The empowerment of all women who want to abort
Correct answer: B
Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.
4. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
5. Which hormone is detected in pregnancy tests?
- A. Estrogen
- B. Progesterone
- C. Luteinizing hormone (LH)
- D. Human chorionic gonadotropin (hCG)
Correct answer: D
Rationale: Human chorionic gonadotropin (hCG) is the hormone detected in pregnancy tests. During pregnancy, the placenta produces hCG, which can be detected in the urine or blood to confirm pregnancy. Estrogen and progesterone are also essential hormones in pregnancy but are not typically used for pregnancy tests. Luteinizing hormone (LH) is involved in the menstrual cycle and ovulation, not pregnancy.
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