HESI RN
Reproductive Health Exam
1. Which of the following are layers of the anterior abdominal wall?
- A. Linear albicantes
- B. Superficial fascia
- C. Visceral peritoneum
- D. Fascia transversalis
Correct answer: A
Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.
2. Practices such as female genital mutilation and unsafe male circumcision are categorized as:
- A. Harmful traditional practices
- B. Encouraged in rural Zambia
- C. Recommended in modern surgery and IRH
- D. Safer sex practices
Correct answer: A
Rationale: Practices like female genital mutilation and unsafe male circumcision are considered harmful traditional practices due to the physical and psychological harm they cause. Choice A is correct as these practices are not safe or recommended. Choice B is incorrect, as harmful traditional practices are not encouraged anywhere. Choice C is incorrect as modern surgery and organizations like IRH aim to eliminate such practices, not recommend them. Choice D is incorrect as these practices are not related to safer sex practices but rather harmful practices that need to be eradicated.
3. 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.
4. Which of the following is incorrect about oral contraceptive pill 'Saheli'?
- A. It is taken by females
- B. It has very few side effects
- C. It is a steroidal preparation
- D. It is 'Once a week' pill
Correct answer: C
Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.
5. 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.
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