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. In 1989, the national population policy was formally launched targeting:
- A. Reducing population growth
- B. Making family planning services available
- C. Making services accessible and affordable to all eligible users
- D. All of the above
Correct answer: D
Rationale: The correct answer is D because the national population policy launched in 1989 aimed at reducing population growth by making family planning services available, accessible, and affordable to all eligible users. Choice A is incorrect as it does not encompass the full scope of the policy objectives. Choice B is also incomplete as it focuses solely on availability without considering accessibility and affordability. Choice C is partially correct but lacks the comprehensive approach of the national population policy.
3. Which of the following is a complication of abortions?
- A. Malnutrition
- B. Peritoneum
- C. Fibroids
- D. Septicaemia
Correct answer: D
Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.
4. In Primary Health care, the concept of accessibility requires that:
- A. Patients should be required to accept one service in order to gain access to another type of service.
- B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
- C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
- D. Patients' access to services should be based on one's educational status.
Correct answer: B
Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.
5. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system
- A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
- B. The heart is displaced downward and to the right, and blood pressure increases.
- C. The cardiovascular system remains unchanged during pregnancy.
- D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.
Correct answer: A
Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.
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