HESI RN
Reproductive Health Exam
1. The structures of the vulva lie ____________ to the vagina.
- A. Posterior
- B. Inferior
- C. Lateral
- D. Superior
Correct answer: B
Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.
2. Which of the following are types of induced abortions?
- A. Therapeutic abortion
- B. Missed abortion
- C. Inevitable abortion
- D. Threatened abortion
Correct answer: A
Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.
3. What is the content of the acrosome?
- A. Lipids
- B. Hormones
- C. Digestive enzymes
- D. None of the above
Correct answer: C
Rationale: The correct answer is C: Digestive enzymes. The acrosome is a structure found in sperm cells that contains enzymes used to penetrate the egg during fertilization. Choice A (Lipids) and Choice B (Hormones) are incorrect as the primary content of the acrosome is digestive enzymes, not lipids or hormones. Choice D (None of the above) is incorrect as the acrosome does contain a specific substance, which are digestive enzymes.
4. When does missed abortion occur?
- A. The fetus dies and is retained in utero with the placenta and membranes.
- B. All products of conception are expelled with minimal bleeding.
- C. The cervix remains closed, and the products of conception remain in the uterus.
- D. The cervix remains closed, but there is heavy bleeding.
Correct answer: C
Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.
5. Which of the following is a symptom of menopause?
- A. Bleeding per vagina
- B. Sleeping all the time
- C. Insomnia
- D. Increased concentration
Correct answer: C
Rationale: Insomnia is a common symptom of menopause. During menopause, hormonal changes can lead to sleep disturbances, including difficulty falling asleep or staying asleep. Choice A, 'Bleeding per vagina,' is not a typical symptom of menopause but should prompt further evaluation. Choice B, 'Sleeping all the time,' is not a common symptom of menopause; in fact, insomnia, rather than excessive sleep, is more prevalent. Choice D, 'Increased concentration,' is not a symptom of menopause; cognitive changes like forgetfulness or difficulty concentrating may occur, but increased concentration is not a typical manifestation.
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