HESI RN
Reproductive Health Exam Questions And Answers
1. At what age are women likely to enter menopause?
- A. 35 - 40 years
- B. 40 - 45 years
- C. 45 - 50 years
- D. 25 - 30 years
Correct answer: C
Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.
2. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:
- A. Oligomenorrhea
- B. Menorrhagia
- C. Metrorrhagia
- D. Polymenorrhea
Correct answer: A
Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.
3. At what age does the first menstrual period typically occur?
- A. 9 and 15 years
- B. 2 and 10 years
- C. 1 and 5 years
- D. 18 and 20 years
Correct answer: A
Rationale: The first menstrual period, known as menarche, typically occurs between the ages of 9 and 15 years. This marks the onset of puberty in females. Choices B, C, and D are incorrect because the first menstrual period does not occur as early as 2 years old, 1 year old, or as late as 18 to 20 years old.
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. Septic abortion is characterized by:
- A. Backache.
- B. Os open.
- C. Heavy bleeding.
- D. Maternal pyrexia.
Correct answer: D
Rationale: Septic abortion is characterized by maternal pyrexia. Maternal pyrexia, or fever, is a hallmark sign of septic abortion due to infection. Backache and heavy bleeding can be present in abortion but are not specific to septic abortion. 'Os open' does not directly characterize septic abortion.
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