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 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.
3. Which of the following is not a role of Reproductive and Child Health Care (RCH) programs?
- A. Awareness about reproductive health
- B. Providing facilities to build a reproductively healthy society
- C. Providing support to reproductively sick people
- D. Promoting abortion
Correct answer: D
Rationale: The correct answer is D. Promoting abortion is not a role of the Reproductive and Child Health Care (RCH) programs. RCH programs focus on promoting awareness about reproductive health, providing facilities to build a reproductively healthy society, and offering support to reproductively sick individuals. The promotion of abortion is not within the scope of RCH programs, which aim to improve maternal and child health outcomes through education, healthcare services, and support systems.
4. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
- B. Delay in arrival at a health facility
- C. Delay in initiating treatment
- D. Excessive blood loss
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
5. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:
- A. 2 months
- B. 3 months
- C. 4 months
- D. 5 months
Correct answer: C
Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.
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