HESI RN
Reproductive Health Exam Questions And Answers
1. What does Integrated Reproductive Health entail?
- A. Women of childbearing age
- B. Women and under-five children only
- C. Men, women, adolescents, youth, and children
- D. Pregnant women only
Correct answer: C
Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.
2. What is a Carneous Mole defined as?
- A. Occurs when fluids drain from the blood mole, leaving a fresh firm mass.
- B. Occurs when the ovum dies and is expelled.
- C. Occurs when the fetus dies, and the membranes rupture.
- D. Occurs when the fetus survives after a failed abortion attempt.
Correct answer: A
Rationale: A Carneous Mole is defined as when fluids drain from the blood mole, leaving a fresh firm mass. This process leads to the formation of a solid mass resembling tissue. Choice B is incorrect as it describes a different concept known as a missed abortion, where the ovum dies and is expelled. Choice C is incorrect as it describes a situation related to fetal demise and membrane rupture, not specifically the formation of a Carneous Mole. Choice D is incorrect as it refers to a scenario where the fetus survives after a failed abortion attempt, which is distinct from the definition of a Carneous Mole.
3. What forms the vaginal lining?
- A. Squamous epithelium
- B. Stratified epithelium
- C. Vascular connective tissue
- D. Muscle coat
Correct answer: A
Rationale: The vaginal lining is primarily formed by squamous epithelium. Squamous epithelium is the correct answer because it is the type of epithelium that lines the vaginal canal. Stratified epithelium consists of multiple layers and is not the primary type found in the vaginal lining. Vascular connective tissue and muscle coat are not the main components of the vaginal lining, making them incorrect choices.
4. When does a broad ligament haematoma occur?
- A. Rupture occurs in the mesenteric border of the tube.
- B. Rupture occurs in the ovarian ligament.
- C. Rupture occurs in the broad ligament.
- D. Rupture occurs in the uterine wall.
Correct answer: A
Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.
5. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?
- A. Threatened abortion
- B. Inevitable abortion
- C. Complete abortion
- D. Missed abortion
Correct answer: B
Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.
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