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 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.
3. Discuss the anatomical/physiological changes in pregnancy related to the breasts.
- A. Breast tenderness increases, circulatory supply to the breasts increases, leading to breast enlargement, and colostrum secretion occurs.
- B. Breast tenderness decreases, and there is no significant change in breast size.
- C. Breast changes include decreased tenderness and reduced circulatory supply.
- D. Breasts do not undergo significant changes during pregnancy.
Correct answer: A
Rationale: During pregnancy, the breasts undergo significant anatomical and physiological changes. These changes include increased breast tenderness, an increase in circulatory supply to the breasts, resulting in breast enlargement, and the secretion of colostrum. Choice B is incorrect as breast tenderness actually increases during pregnancy. Choice C is incorrect as the circulatory supply to the breasts increases rather than reduces. Choice D is incorrect as breasts do undergo notable changes during pregnancy.
4. What is the role of the prolactin hormone?
- A. Stimulates the development of milk-producing tissue.
- B. Stimulates milk storage.
- C. Stimulates milk production.
- D. Stimulates milk ejection.
Correct answer: C
Rationale: The correct answer is C: 'Stimulates milk production.' Prolactin hormone is responsible for promoting the production of milk in the mammary glands. This hormone does not directly stimulate the development of milk-producing tissue (Choice A), milk storage (Choice B), or milk ejection (Choice D). While these functions are related to lactation, the primary role of prolactin is to facilitate milk production.
5. What is the reasonable available distance from all patients to offer Primary Health Care (PHC) services?
- A. Within a 20 Km radius
- B. Within a 15 Km radius
- C. Within a 12 Km radius
- D. Within a 10 Km radius
Correct answer: A
Rationale: The correct answer is within a 20 Km radius. Primary Health Care services should be accessible within a 20 Km radius to ensure adequate coverage for all patients. This distance allows for a reasonable reach while ensuring that individuals can access essential healthcare services in a timely manner. Choices B, C, and D are incorrect as they offer distances that may limit accessibility and coverage, potentially leaving some patients without timely access to necessary healthcare.
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