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. How many autosomes does a human primary spermatocyte have?
- A. 34
- B. 44
- C. 54
- D. 33
Correct answer: B
Rationale: A human primary spermatocyte has 44 autosomes. Autosomes are chromosomes that are not involved in determining an individual's sex. In humans, there are a total of 46 chromosomes in a somatic cell, with 22 pairs of autosomes and one pair of sex chromosomes. Therefore, the correct answer is 44 autosomes, making choice B the correct answer. Choices A, C, and D are incorrect as they do not represent the accurate number of autosomes in a human primary spermatocyte.
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. Which of the following Leopold maneuvers assesses the fetal lie?
- A. Fundal grip
- B. Umbilical grip
- C. Pawlick grip
- D. Pelvic grip
Correct answer: A
Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.
5. When does a broad ligament haematoma occur?
- A. Rupture occurs in the mesenteric border of the tube.
- B. Rupture occurs in the ovarian ligament.
- C. Rupture occurs in the broad ligament.
- D. Rupture occurs in the uterine wall.
Correct answer: A
Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.
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