HESI RN
Reproductive System Exam Questions
1. Incomplete abortion is characterized by:
- A. Heavy bleeding.
- B. Open os.
- C. Severe cramping.
- D. Light bleeding.
Correct answer: B
Rationale: Incomplete abortion is characterized by an open os, which means that the cervix is dilated, allowing for passage of tissue. This condition typically presents with heavy bleeding as parts of the products of conception are expelled. Severe cramping may also be present due to uterine contractions. Therefore, the correct characteristic of incomplete abortion is an open os (Choice B). Choices A, C, and D are incorrect as heavy bleeding and severe cramping are symptoms associated with incomplete abortion, but they do not specifically define it, and light bleeding is not characteristic of incomplete abortion.
2. What is required for privacy in reproductive health services?
- A. Covering windows and placing partitions between examination areas.
- B. Placing examination tables so that women will be exposed during exams.
- C. Allowing healthcare staff to discuss patients openly in the clinic.
- D. Forcing patients to undergo procedures without proper explanation.
Correct answer: A
Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.
3. Discuss the anatomical/physiological changes in pregnancy under the following: Kidney/renal system
- A. Kidneys increase in size, pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases.
- B. Kidneys decrease in size, and glomerular filtration rate decreases.
- C. There is no change in kidney size or ureter function, but the glomerular filtration rate decreases.
- D. Kidneys shrink, and ureters remain the same.
Correct answer: A
Rationale: During pregnancy, the kidneys increase in size, the pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases. This is due to the increased metabolic demands and hormonal changes during pregnancy. Choice B is incorrect as the kidneys do not decrease in size, and the glomerular filtration rate actually increases. Choice C is incorrect as there are changes in kidney size and ureter function during pregnancy. Choice D is incorrect as the kidneys do not shrink during pregnancy.
4. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
5. Why is it important to involve both men and women in many aspects of the RH program?
- A. Promote responsible and caring attitudes and behavior for the benefit of all
- B. Prevent abuse of pregnant women
- C. Minimize sexually transmitted diseases
- D. Promote love and care among couples
Correct answer: A
Rationale: Involving both men and women in the RH program is crucial to promote responsible and caring attitudes and behavior for the benefit of all. This inclusive approach ensures that diverse perspectives are considered, leading to better outcomes and fostering a sense of shared responsibility. While preventing abuse of pregnant women is important, it is just one aspect of the broader goal of promoting overall well-being. Similarly, minimizing sexually transmitted diseases is crucial but not the sole reason for involving both genders. Promoting love and care among couples is desirable, but the primary focus should be on fostering responsible and caring attitudes for the benefit of all individuals involved in reproductive health programs.
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