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. Which of the following is subsidiary uterine support?
- A. Suspensory ligament
- B. Cardinal ligament
- C. Transcervical ligament
- D. Maklouf ligament
Correct answer: B
Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.
3. Which contraceptive option suppresses sperm motility and inhibits the implantation of the blastocyst?
- A. Copper-T
- B. Diaphragm
- C. Contraceptive pills
- D. Condom
Correct answer: A
Rationale: The correct answer is A, Copper-T. Copper-T is an intrauterine device that releases copper ions, which suppress sperm motility and inhibit the implantation of the blastocyst. This method mainly works by preventing fertilization and, if fertilization occurs, by making the endometrium less receptive to implantation. Choices B, C, and D are incorrect. The diaphragm is a barrier method that prevents sperm from reaching the cervix; contraceptive pills mainly work by suppressing ovulation and altering cervical mucus to prevent sperm from reaching the egg; condoms are barrier methods that prevent sperm from entering the vagina.
4. At what age are women likely to enter menopause?
- A. 35 - 40 years
- B. 40 - 45 years
- C. 45 - 50 years
- D. 25 - 30 years
Correct answer: C
Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.
5. Which of the following is included in a pelvic examination?
- A. Inspection of internal genitalia
- B. Inspection of the cervix and vaginal wall
- C. Palpation of the vagina and vaginal cervix by digital examination
- D. Rectal examination
Correct answer: B
Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.
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