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. How do contraceptive oral pills help in birth control?
- A. Preventing ovulation
- B. Killing ova
- C. Killing sperms
- D. More than one of the above
Correct answer: A
Rationale: Contraceptive oral pills primarily work by preventing ovulation, which means Choice A is correct. Choices B and C are incorrect because oral contraceptive pills do not kill ova or sperms. Choice D is incorrect because only preventing ovulation is the primary mechanism of action for oral contraceptive pills.
3. How many arteries are there in an umbilical cord?
- A. Three
- B. One
- C. Two
- D. Four
Correct answer: C
Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.
4. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:
- A. 0.1-0.5
- B. 0.2-0.5
- C. 1.0-2.0
- D. 1.5-2.0
Correct answer: B
Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.
5. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?
- A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
- B. Pink mucosa with multiple small, fluid-filled protrusions
- C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
- D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os
Correct answer: C
Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.
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