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. Outlet of the true pelvis anteriorly bounded by:
- A. Ischiopubic arch (T)
 - B. Linea terminalis (F)
 - C. Coccyx (T)
 - D. Promontory of the sacrum (F)
 
Correct answer: A
Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.
3. The products of conception are retained in which of the following?
- A. Complete abortions
 - B. Incomplete abortions
 - C. Threatened abortion
 - D. Mixed abortion
 
Correct answer: B
Rationale: In incomplete abortions, the products of conception are retained. In a complete abortion, all the products of conception are expelled from the uterus. Threatened abortion refers to a situation where there is vaginal bleeding but the cervix remains closed, and it does not necessarily involve retention of products of conception. Mixed abortion is not a recognized medical term related to retained products of conception.
4. What is one goal of family planning?
- A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
 - B. Limiting couples and individuals to one or two children
 - C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
 - D. Providing a permanent method of family planning after having three children
 
Correct answer: A
Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.
5. What is a cord inserted to the very edge of the placenta known as?
- A. Battledore insertion
 - B. Placenta velamentosa
 - C. Placenta accreta
 - D. Vasa Praevia
 
Correct answer: A
Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.
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