HESI RN
Reproductive Health Exam
1. Which of the following is NOT a strategy for family planning?
- A. Integrating family planning services with other Reproductive Health programs
- B. Expanding access to family planning through non-public delivery systems
- C. Targeting family planning services to priority groups
- D. Expanding programs of immunization
Correct answer: D
Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.
2. What type of epithelium lines the fallopian tubes?
- A. Ciliated epithelium.
- B. Stratified epithelium.
- C. Columnar epithelium.
- D. Endometrium.
Correct answer: A
Rationale: The correct answer is A: Ciliated epithelium. The fallopian tubes are lined with ciliated epithelium, which helps to move the egg from the ovary to the uterus. Choice B, Stratified epithelium, is incorrect because the fallopian tubes are lined with a single layer of cells. Choice C, Columnar epithelium, is incorrect as it does not accurately describe the lining of the fallopian tubes. Choice D, Endometrium, is incorrect because the endometrium is the inner lining of the uterus, not the fallopian tubes.
3. 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.
4. Approximately how many primordial follicles are present in the cortex of the ovary at birth?
- A. 250,000
- B. 200,000
- C. 150,000
- D. 100,000
Correct answer: A
Rationale: The correct answer is A: 250,000. At birth, there are approximately 250,000 primordial follicles in the cortex of each ovary. These primordial follicles represent the reserve of oocytes that a female will have throughout her reproductive life. Choice B, 200,000, is incorrect as the number is higher. Choices C and D, 150,000 and 100,000 respectively, are also incorrect as they underestimate the actual number of primordial follicles present at birth.
5. What is the most common site for an ectopic pregnancy?
- A. Isthmus
- B. Ampulla
- C. Interstitial
- D. Infundibulum
Correct answer: C
Rationale: The correct answer is C, Interstitial. An ectopic pregnancy most commonly occurs in the interstitial portion of the fallopian tube. This is because the interstitial part is narrow and not suitable for the growing embryo, leading to implantation outside the uterus. Choices A, B, and D are incorrect because although ectopic pregnancies can occur in various locations, the interstitial portion of the fallopian tube is the most frequent site for such pregnancies.
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