HESI RN
Reproductive Health Exam
1. What is a characteristic of threatening abortion?
- A. Os open.
- B. Firm contracted uterus.
- C. Heavy bleeding.
- D. Severe cramping.
Correct answer: B
Rationale: Threatening abortion is characterized by a firm contracted uterus with an open os. This presentation indicates a risk of miscarriage. Choice A ('Os open') is not specific enough and does not fully describe the condition. Choices C ('Heavy bleeding') and D ('Severe cramping') can also be present in threatening abortion, but the primary characteristic is a firm contracted uterus with an open os.
2. Expanded access to family planning through non-public delivery systems is facilitated by all of the following EXCEPT:
- A. By using the private sector and social marketing
- B. Community-based programs
- C. Information, Education, and Communication
- D. Key persons in the community
Correct answer: D
Rationale: Expanded access to family planning through non-public delivery systems involves utilizing various strategies to reach more people. Options A, B, and C are all effective methods for expanding access to family planning services. The involvement of key persons in the community is not a typical approach for non-public delivery systems. Key persons in the community may have influence but may not be directly involved in the delivery of family planning services, making option D the correct answer.
3. What does Integrated Reproductive Health entail?
- A. Women of childbearing age
- B. Women and under-five children only
- C. Men, women, adolescents, youth, and children
- D. Pregnant women only
Correct answer: C
Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.
4. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
5. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:
- A. Menorrhagia
- B. Metrorrhagia
- C. Polymenorrhoea
- D. Epimenorrhoea
Correct answer: B
Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.
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