HESI RN
Reproductive Health Exam
1. Lactational Amenorrhoea Method (LAM) is best for:
- A. Clients who do not wish to have any more children
- B. Clients with a baby less than 6 months postpartum
- C. Clients who want to wait before having a first or another child
- D. Clients with several sexual partners
Correct answer: B
Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.
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. What is the primary use of Bromocriptine?
- A. Relieve constriction ring.
- B. Manage post-partum hemorrhage.
- C. Affect milk production.
- D. Be used in pre-eclampsia.
Correct answer: C
Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.
4. Appropriate Technologies and Skills involve:
- A. Selecting technologies according to universal standards.
- B. Ensuring a doctor is present at the service-providing facility.
- C. Requiring that health care providers are nurses.
- D. Selecting technologies that are easy to use but not necessarily effective.
Correct answer: A
Rationale: The correct answer is A: 'Selecting technologies according to universal standards.' Appropriate technologies and skills involve choosing tools and methods based on universal standards to ensure effectiveness and efficiency. Choice B is incorrect because the presence of a doctor is not necessarily a defining factor for appropriate technologies and skills. Choice C is incorrect as appropriate technologies are not limited to being utilized only by nurses. Choice D is incorrect as the focus should be on selecting technologies that are both easy to use and effective, not one or the other.
5. What type of epithelium lines the vagina?
- A. Ciliated epithelium.
- B. Squamous epithelium.
- C. Columnar epithelium.
- D. Transitional epithelium.
Correct answer: B
Rationale: The correct answer is B: Squamous epithelium. The vagina is lined with non-keratinized stratified squamous epithelium. This type of epithelium provides protection against abrasion and pathogens. Choice A, Ciliated epithelium, is incorrect as ciliated epithelium is found in areas like the fallopian tubes to help move the egg towards the uterus. Choice C, Columnar epithelium, is incorrect as columnar epithelium is typically found in areas like the intestines. Choice D, Transitional epithelium, is incorrect as this type of epithelium is found in areas like the urinary bladder.
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