HESI RN
Reproductive Health Exam
1. The GIFT technique is recommended for which of the following females?
- A. Females who cannot produce an ovum
- B. Females who cannot provide a suitable environment for fertilization
- C. Females who cannot retain the embryo inside the uterus
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.
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. 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.
4. What is a cord inserted to the very edge of the placenta known as?
- A. Battledore insertion
- B. Placenta velamentosa
- C. Placenta accreta
- D. Vasa Praevia
Correct answer: A
Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.
5. Which of the following is not a barrier method of birth control?
- A. Vaults
- B. Diaphragms
- C. Sterilization
- D. Cervical caps
Correct answer: C
Rationale: The correct answer is C, Sterilization. Sterilization is a permanent form of birth control that involves surgical procedures to prevent pregnancy by blocking the fallopian tubes or vas deferens. Barrier methods physically prevent sperm from reaching the egg, such as vaults, diaphragms, and cervical caps. These devices create a barrier to sperm, unlike sterilization. Therefore, choices A, B, and D are all considered barrier methods of birth control.
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