HESI RN
Reproductive System Exam Questions
1. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system
- A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
- B. The heart is displaced downward and to the right, and blood pressure increases.
- C. The cardiovascular system remains unchanged during pregnancy.
- D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.
Correct answer: A
Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.
2. Menopausal women require a diet rich in calcium to prevent osteoporosis. Which one of the following is a source of calcium?
- A. Spinach
- B. Cabbage
- C. Carrots
- D. Rape
Correct answer: A
Rationale: Corrected Rationale: Spinach is a good source of calcium, which is crucial for preventing osteoporosis in menopausal women. Spinach is a leafy green vegetable high in calcium content. While cabbage, carrots, and rape are nutritious, they do not provide as much calcium as spinach does. Therefore, spinach is the correct choice for menopausal women looking to increase their calcium intake.
3. What is the most important factor in ensuring accessibility in reproductive health services?
- A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
- B. Requiring patients to access multiple services to get the care they need.
- C. Providing reproductive health services only to those who can afford it.
- D. Providing health services only in urban areas.
Correct answer: A
Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.
4. What does Integrated Reproductive Health entail?
- A. Women of childbearing age
- B. Women and under-five children only
- C. Men, women, adolescents, youth, and children
- D. Pregnant women only
Correct answer: C
Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.
5. Which space is present between the bladder and the uterus?
- A. Vesico-uterine pouch
- B. Pubovesical pouch
- C. Retro-uterine pouch
- D. Recto-uterine pouch
Correct answer: A
Rationale: The correct answer is the vesico-uterine pouch. This space is specifically located between the bladder and the uterus. The pubovesical pouch is incorrect as it refers to the space between the pubic bone and the bladder. The retro-uterine pouch, also known as the pouch of Douglas, is located between the uterus and rectum. The recto-uterine pouch is not a recognized anatomical term, making it an incorrect choice.
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