HESI RN
Reproductive Health Exam
1. What is one goal of family planning?
- A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
- B. Limiting couples and individuals to one or two children
- C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
- D. Providing a permanent method of family planning after having three children
Correct answer: A
Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.
2. What is dysmenorrhoea?
- A. Heavy menstruation
- B. Light menstruation
- C. Painful menstruation
- D. Infrequent menstruation
Correct answer: C
Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.
3. Which of the following are layers of endometrium in pregnancy EXCEPT?
- A. Decidua compacta
- B. Decidua spongiosum
- C. Decidua functionalis
- D. Decidua basalis
Correct answer: C
Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.
4. Inevitable abortion occurs when:
- A. The ovum dies in utero and the decidua capsularis remains intact.
- B. The cervix is open, and the products of conception are about to be expelled.
- C. The products of conception are expelled before the 20th week of gestation.
- D. The fetus dies and is expelled in the first trimester.
Correct answer: B
Rationale: Inevitable abortion occurs when the cervix is open, and the products of conception are about to be expelled. This is a critical point in the process of spontaneous abortion, indicating that expulsion of the products of conception is imminent. Choice A is incorrect as it describes a missed abortion where the ovum dies but the decidua capsularis remains intact. Choice C is incorrect as it describes an incomplete abortion where the products of conception are expelled before the completion of 20 weeks of gestation. Choice D is incorrect as it describes a missed abortion where the fetus dies and is expelled in the first trimester.
5. The structures of the vulva lie ____________ to the vagina.
- A. Posterior
- B. Inferior
- C. Lateral
- D. Superior
Correct answer: B
Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.
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