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. Which of the following data should not be included in the identification data of gynecological history?
- A. Parity
- B. Lost normal menstrual period
- C. EDD (Expected date of delivery)
- D. Last delivery
Correct answer: C
Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.
3. Abortion is defined as:
- A. Bleeding per vaginum in early pregnancy
- B. Willingness to terminate pregnancy
- C. Expulsion of products of conception after the 28th week of gestation
- D. Expulsion of products of conception before the 28th week of gestation
Correct answer: D
Rationale: Abortion is defined as the expulsion of products of conception before the 28th week of gestation. Choice A is incorrect as it describes bleeding in early pregnancy, not the definition of abortion. Choice B is incorrect as it refers to the willingness to terminate a pregnancy rather than the actual act of expulsion. Choice C is incorrect as it defines abortion as the expulsion of products of conception after the 28th week of gestation, which is considered a stillbirth.
4. During a vaginal examination, which of the following statements is true?
- A. Cervical scrapes cytology can be taken in the same setting.
- B. Preferably done after bimanual examination.
- C. The cervix is best visualized with the Crisco's type of spectrum.
- D. During pregnancy, the cervix feels firm like the tip of the nose.
Correct answer: C
Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.
5. Amniocentesis deals with patterns of ______ in the amniotic fluid.
- A. Fingers
- B. DNA
- C. Chromosomes
- D. Proteins
Correct answer: C
Rationale: Amniocentesis is a prenatal test that involves examining chromosomes in the amniotic fluid to detect genetic abnormalities. Therefore, the correct answer is 'Chromosomes.' The other choices, such as 'Fingers,' 'DNA,' and 'Proteins,' do not accurately represent what is analyzed during an amniocentesis procedure and are unrelated to the genetic information obtained through this test.
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