HESI RN
Reproductive Health Exam
1. Legislation allowing nursing staff to provide contraceptives has resulted in all of the following EXCEPT:
- A. More nursing staff have been trained to provide family planning services
- B. Many population and family planning organizations have emerged
- C. Enhanced implementation of population and family planning programs
- D. Male involvement in family planning services
Correct answer: D
Rationale: The correct answer is D. Male involvement in family planning services has not significantly resulted from legislation allowing nursing staff to provide contraceptives. While legislation has led to more nursing staff being trained, the emergence of population and family planning organizations, and enhanced implementation of programs, it has not directly impacted male involvement in family planning.
2. What is one role of the hormone estrogen?
- A. Stimulates the development of the milk-producing tissue.
- B. Stimulates the production of lactoferrin.
- C. Stimulates the development of the nipple and duct system in the breast.
- D. Stimulates the secretion of relaxin.
Correct answer: A
Rationale: The correct answer is A: Estrogen stimulates the development of the milk-producing tissue in the breast. This hormone is essential in preparing the breast for milk production. Choice B is incorrect because lactoferrin production is not a primary role of estrogen. Choice C is incorrect as estrogen primarily influences the development of the breast tissue rather than specifically the nipple and duct system. Choice D is incorrect because relaxin secretion is not a function typically associated with estrogen.
3. The GIFT technique is recommended for which of the following females?
- A. Females who cannot produce an ovum
- B. Females who cannot provide a suitable environment for fertilization
- C. Females who cannot retain the embryo inside the uterus
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.
4. 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.
5. What structure lies posterior to the vagina?
- A. Pouch of Douglas
- B. Rectum
- C. Perineal body
- D. Structures of the vulva
Correct answer: B
Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.
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