HESI RN
Reproductive System Exam Questions
1. What is dysmenorrhoea?
- A. Heavy menstruation
 - B. Light menstruation
 - C. Painful menstruation
 - D. Infrequent menstruation
 
Correct answer: C
Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.
2. Respect in reproductive health care involves:
- A. Talking to patients politely and managing their care compassionately and non-judgmentally.
 - B. Ensuring that all patients sign a consent form.
 - C. Ignoring patient requests for privacy.
 - D. Disregarding patient concerns during care.
 
Correct answer: A
Rationale: Respect in reproductive health care entails treating patients with politeness, compassion, and without judgment. Choice A is the correct answer as it aligns with the principles of respect and patient-centered care. It is essential to communicate respectfully, show compassion, and address patients' needs without passing judgment. Choices B, C, and D are incorrect. Ensuring consent through a form is important but not the sole aspect of respect. Ignoring patient requests for privacy goes against patient rights, and disregarding patient concerns is contrary to providing comprehensive care.
3. _______ is a lytic enzyme released by the sperm.
- A. Hyaluronidase
 - B. Trypsin
 - C. Helicase
 - D. None of the above
 
Correct answer: A
Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.
4. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
 - B. Broad ligaments
 - C. Cardinal ligaments
 - D. Pubocervical ligaments
 
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
5. What type of epithelium lines the fallopian tubes?
- A. Ciliated epithelium.
 - B. Stratified epithelium.
 - C. Columnar epithelium.
 - D. Endometrium.
 
Correct answer: A
Rationale: The correct answer is A: Ciliated epithelium. The fallopian tubes are lined with ciliated epithelium, which helps to move the egg from the ovary to the uterus. Choice B, Stratified epithelium, is incorrect because the fallopian tubes are lined with a single layer of cells. Choice C, Columnar epithelium, is incorrect as it does not accurately describe the lining of the fallopian tubes. Choice D, Endometrium, is incorrect because the endometrium is the inner lining of the uterus, not the fallopian tubes.
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