HESI RN
Reproductive Health Exam Questions And Answers
1. The placenta is developed from which part of the trophoblast?
- A. Chorionic Frondosum
- B. Anchoring Villi
- C. Chorionic Laeve
- D. Body Stalk
Correct answer: A
Rationale: The correct answer is A: Chorionic Frondosum. The placenta is developed from the chorionic frondosum part of the trophoblast. This structure gives rise to the fetal part of the placenta. Choices B, C, and D are incorrect. Anchoring Villi are projections from the chorionic plate that attach the placenta to the uterine wall. Chorionic Laeve refers to the smooth chorion that covers the fetal surface of the placenta. The Body Stalk is a structure that connects the early embryo to the trophoblastic pole of the blastocyst.
2. A primigravida at term comes to the prenatal clinic and tells the nurse that she is having contractions every 5 min. The nurse monitors the client for one hour, using an external fetal monitor, and determines that the client’s contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild intensity by palpation. What action should the nurse take?
- A. Tell the client to go directly to the hospital for admission to labor and delivery for active labor
- B. Send the client home and instruct her to call the clinic when her contractions occur 5 minutes apart for one hour
- C. Tell the client to check into the hospital within the next hour for evaluation of possible urinary tract infection
- D. Advise the client to rest and hydrate, then return if contractions become more regular
Correct answer: B
Rationale: The client should be instructed to call when contractions are 5 minutes apart for an hour to ensure she is in active labor before going to the hospital.
3. Clinical nursing assessment for a patient with microangiopathy who has manifested impaired peripheral arterial circulation includes all of the following except:
- A. Integumentary inspection for the presence of brown spots on the lower extremities.
- B. Observation for paleness of the lower extremities.
- C. Observation for blanching of the feet after the legs are elevated for 60 seconds.
- D. Palpation for increased pulse volume in the arteries of the lower extremities.
Correct answer: D
Rationale: In a patient with impaired peripheral arterial circulation, clinical nursing assessment should include integumentary inspection for the presence of brown spots, observation for paleness of the lower extremities, and observation for blanching of the feet after the legs are elevated for 60 seconds. Palpation for increased pulse volume in the arteries of the lower extremities is not consistent with impaired circulation, as pulses are typically diminished in this condition. Therefore, palpation for increased pulse volume is not relevant to the assessment of impaired peripheral arterial circulation.
4. A patient is taking a thiazide diuretic and reports anorexia and fatigue. The nurse suspects which electrolyte imbalance in this patient?
- A. Hypercalcemia
- B. Hypocalcemia
- C. Hyperkalemia
- D. Hypokalemia
Correct answer: D
Rationale: The correct answer is D: Hypokalemia. Thiazide diuretics lead to potassium loss, potentially causing hypokalemia. Anorexia and fatigue are common manifestations of hypokalemia. Hypercalcemia (choice A) and hypocalcemia (choice B) are not directly associated with thiazide diuretics. Hyperkalemia (choice C) is less likely than hypokalemia to be caused by thiazide diuretics.
5. A client with hyperlipidemia is prescribed simvastatin (Zocor). Which instruction should the nurse include in the teaching plan?
- A. Take the medication in the evening.
- B. Report any muscle pain to your healthcare provider.
- C. Avoid increasing your intake of grapefruit juice.
- D. Do not take the medication with a high-fat meal.
Correct answer: B
Rationale: Muscle pain can be a sign of a serious side effect of simvastatin (Zocor) known as rhabdomyolysis and should be reported to the healthcare provider immediately. The medication is usually taken in the evening to coincide with the body's natural production of cholesterol. Grapefruit juice should be avoided as it can increase the risk of toxicity by affecting the metabolism of the medication. Additionally, taking simvastatin with a high-fat meal can reduce its effectiveness, so it should be taken without food or with a light meal.