the phase of the menstrual cycle which is variable is the

HESI RN

Reproductive Health Exam

1. Which phase of the menstrual cycle is variable?

A. Ovulatory
B. Regenerative
C. Secretory
D. Menstrual

Correct answer: B

Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.

2. 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.

3. Respect in reproductive health care involves:

A. Talking to patients politely and managing their care compassionately and non-judgmentally.
B. Ensuring that all patients sign a consent form.
C. Ignoring patient requests for privacy.
D. Disregarding patient concerns during care.

Correct answer: A

Rationale: Respect in reproductive health care entails treating patients with politeness, compassion, and without judgment. Choice A is the correct answer as it aligns with the principles of respect and patient-centered care. It is essential to communicate respectfully, show compassion, and address patients' needs without passing judgment. Choices B, C, and D are incorrect. Ensuring consent through a form is important but not the sole aspect of respect. Ignoring patient requests for privacy goes against patient rights, and disregarding patient concerns is contrary to providing comprehensive care.

4. Discuss the anatomical/physiological changes in pregnancy related to the breasts.

A. Breast tenderness increases, circulatory supply to the breasts increases, leading to breast enlargement, and colostrum secretion occurs.
B. Breast tenderness decreases, and there is no significant change in breast size.
C. Breast changes include decreased tenderness and reduced circulatory supply.
D. Breasts do not undergo significant changes during pregnancy.

Correct answer: A

Rationale: During pregnancy, the breasts undergo significant anatomical and physiological changes. These changes include increased breast tenderness, an increase in circulatory supply to the breasts, resulting in breast enlargement, and the secretion of colostrum. Choice B is incorrect as breast tenderness actually increases during pregnancy. Choice C is incorrect as the circulatory supply to the breasts increases rather than reduces. Choice D is incorrect as breasts do undergo notable changes during pregnancy.

5. What causes the changes in appearance seen in boys at the time of puberty?

A. Prolactin
B. Adrenaline
C. Estrogen
D. Testosterone

Correct answer: D

Rationale: During puberty, boys experience physical changes such as growth of facial and body hair, deepening of the voice, and muscle development. These changes are primarily driven by the hormone testosterone. Testosterone is responsible for the development of male secondary sexual characteristics. Therefore, the correct answer is testosterone. Choices A, B, and C are incorrect because prolactin, adrenaline, and estrogen do not play a significant role in the development of male secondary sexual characteristics during puberty.