HESI RN
Reproductive Health Exam
1. Herpes simplex type 2 (HSV-2) does not cause cold sores of the lips:
- A. True.
- B. False.
- C. Depends on the person.
- D. Not enough information.
Correct answer: B
Rationale: Herpes simplex type 2 (HSV-2) typically causes genital herpes, not cold sores on the lips. Cold sores on the lips are commonly caused by herpes simplex type 1 (HSV-1). Therefore, the statement that HSV-2 causes cold sores of the lips is incorrect. Choice B, 'False,' is the correct answer. Choice A is incorrect because HSV-2 does not cause cold sores on the lips. Choice C, 'Depends on the person,' is incorrect as the cause of cold sores is predominantly linked to HSV-1. Choice D, 'Not enough information,' is also incorrect as this information is well-established in medical knowledge.
2. Which of the following data should not be included in the identification data of gynecological history?
- A. Parity
- B. Lost normal menstrual period
- C. EDD (Expected date of delivery)
- D. Last delivery
Correct answer: C
Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.
3. Where does the ovum receive the sperm?
- A. Animal pole
- B. Vegetal pole
- C. Zona pellucida
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'Zona pellucida.' The ovum receives the sperm at the zona pellucida, which is the glycoprotein layer surrounding the plasma membrane of the oocyte. This layer plays a crucial role in preventing polyspermy. Choices A and B, 'Animal pole' and 'Vegetal pole,' are incorrect as they refer to different regions of the egg and are not where the sperm fertilizes the ovum. Choice D, 'None of the above,' is incorrect as the sperm indeed interacts with the zona pellucida during fertilization.
4. Which of the following is NOT a phase of the menstrual cycle?
- A. Follicular phase
- B. Ovulatory phase
- C. Luteal phase
- D. Secretory phase
Correct answer: D
Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.
5. In Reproductive Health services, decision-making about RH matters is mostly done by:
- A. The Woman's parents
- B. The Man's parents
- C. The Husband
- D. The Wife
Correct answer: C
Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.
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