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. Which of the following is subsidiary uterine support?
- A. Suspensory ligament
- B. Cardinal ligament
- C. Transcervical ligament
- D. Maklouf ligament
Correct answer: B
Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.
3. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
4. What is the area of the uterus where the fallopian tubes are inserted known as?
- A. Fundus
- B. Corpus or body
- C. Cavity
- D. Cornua
Correct answer: D
Rationale: The correct answer is D, Cornua. The cornua refers to the upper, horn-like parts of the uterus where the fallopian tubes are inserted. The fundus (choice A) is the rounded top portion of the uterus, the corpus or body (choice B) is the main part of the uterus excluding the cervix and fundus, and the cavity (choice C) refers to the internal space within the uterus. Therefore, choices A, B, and C are incorrect as they do not specifically denote the area where the fallopian tubes are inserted.
5. Which of the following are types of induced abortions?
- A. Therapeutic abortion
- B. Missed abortion
- C. Inevitable abortion
- D. Threatened abortion
Correct answer: A
Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.
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