HESI RN
Reproductive Health Exam Questions And Answers
1. What action does the copper used in Copper T have?
- A. Blastocidal
 - B. Bacteriostatic
 - C. Bacteriocidal
 - D. Spermicidal
 
Correct answer: D
Rationale: The correct answer is D, Spermicidal. The copper in Copper T exerts its action by affecting sperm viability and motility, thus preventing fertilization. Choices A, B, and C are incorrect because Copper T primarily works by preventing sperm from reaching and fertilizing the egg, rather than acting on blastocysts, bacteria, or bacteriocins.
2. What is the most common symptom in all clinical types of abortion EXCEPT:
- A. Lower abdominal pain
 - B. Per vaginal bleeding
 - C. Show
 - D. Backache
 
Correct answer: C
Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.
3. Causes of metrorrhagia include:
- A. Cervical carcinoma
 - B. Uterine polyp
 - C. Cervical endometriosis
 - D. Infections like Chlamydia
 
Correct answer: A
Rationale: Metrorrhagia refers to irregular menstrual bleeding that occurs between periods. Cervical carcinoma, a type of cancer that develops in the cervix, can lead to metrorrhagia. Uterine polyps, which are growths attached to the inner wall of the uterus, can also cause abnormal bleeding. While infections like Chlamydia can cause abnormal vaginal bleeding, they are not common causes of metrorrhagia. Cervical endometriosis, although a possible gynecological condition, is not a typical cause of metrorrhagia. Therefore, the correct answer is cervical carcinoma as it is a known cause of metrorrhagia, making the other options incorrect.
4. Which of the following is NOT a phase of the menstrual cycle?
- A. Follicular phase
 - B. Ovulatory phase
 - C. Luteal phase
 - D. Secretory phase
 
Correct answer: D
Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.
5. What is the definition of incomplete abortion?
- A. Part of the products of conception, especially the fetus, is expelled while the placenta and membranes are retained.
 - B. All products of conception are expelled, and there is minimal per vaginal bleeding.
 - C. The cervix is closed, and the products of conception remain in the uterus.
 - D. The cervix dilates, and the products of conception are expelled.
 
Correct answer: A
Rationale: Incomplete abortion is defined as part of the products of conception, especially the fetus, being expelled while the placenta and membranes are retained. This is the correct definition, making option A the right choice. Option B is incorrect as it describes a complete abortion. Option C is incorrect because in incomplete abortion, the products of conception are not retained in the uterus, and the cervix may be open. Option D is incorrect as it describes a situation more likely to be seen in an inevitable abortion.
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