HESI RN
Reproductive Health Exam
1. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
- B. Broad ligaments
- C. Cardinal ligaments
- D. Pubocervical ligaments
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
2. What is the typical measurement of the anterior wall of the vaginal canal?
- A. 10 cm
- B. 11 cm
- C. 11.5 cm
- D. 7.5 cm
Correct answer: D
Rationale: The typical measurement of the anterior wall of the vaginal canal is 7.5 cm. This measurement is anatomically accurate, making choice D the correct answer. Choices A, B, and C provide measurements that are larger than the typical measurement of the anterior wall of the vaginal canal and are therefore incorrect.
3. What is the function of luteinizing hormone?
- A. Maintains the corpus luteum
- B. Ripens the Graafian follicle
- C. Prepares the breasts for lactation
- D. Produces regrowth of the endometrium
Correct answer: A
Rationale: Luteinizing hormone is responsible for maintaining the corpus luteum after ovulation. This is crucial for the production of progesterone, which helps prepare the endometrium for implantation and supports early pregnancy. Choices B, C, and D are incorrect: B is the function of follicle-stimulating hormone (FSH) which stimulates the growth of ovarian follicles, C is mainly regulated by prolactin, and D is primarily associated with estrogen and progesterone.
4. Why is it important to involve both men and women in many aspects of the RH program?
- A. Promote responsible and caring attitudes and behavior for the benefit of all
- B. Prevent abuse of pregnant women
- C. Minimize sexually transmitted diseases
- D. Promote love and care among couples
Correct answer: A
Rationale: Involving both men and women in the RH program is crucial to promote responsible and caring attitudes and behavior for the benefit of all. This inclusive approach ensures that diverse perspectives are considered, leading to better outcomes and fostering a sense of shared responsibility. While preventing abuse of pregnant women is important, it is just one aspect of the broader goal of promoting overall well-being. Similarly, minimizing sexually transmitted diseases is crucial but not the sole reason for involving both genders. Promoting love and care among couples is desirable, but the primary focus should be on fostering responsible and caring attitudes for the benefit of all individuals involved in reproductive health programs.
5. What laboratory values are not typically elevated in a patient with PCOS?
- A. LH
- B. Androgens
- C. Estrogens
- D. Prolactin
Correct answer: D
Rationale: The correct answer is D: Prolactin. Prolactin levels are not typically elevated in patients with PCOS. Elevated LH and androgens are commonly seen in PCOS patients. While estrogen levels can vary in PCOS, they are not consistently low or high in all cases.
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