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. Which hormone regulates the production of milk after childbirth?
- A. Prolactin
- B. Oxytocin
- C. Estrogen
- D. Progesterone
Correct answer: A
Rationale: The correct answer is Prolactin. Prolactin is the hormone responsible for regulating the production of milk after childbirth. It stimulates the mammary glands in the breasts to produce milk. Oxytocin, on the other hand, is responsible for the ejection of milk from the breasts. Estrogen and progesterone play roles in the menstrual cycle and pregnancy but are not directly involved in milk production. Therefore, choices B, C, and D are incorrect.
3. 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.
4. The surgical procedure done in Bartholin's abscess is called:
- A. Hysterectomy
- B. Oophorectomy
- C. Marsupialization
- D. Salpingectomy
Correct answer: C
Rationale: The correct answer is C: Marsupialization. Marsupialization is the surgical procedure specifically performed for Bartholin's abscess. This procedure involves creating a new duct for the Bartholin's gland to prevent future abscess formation. Choices A, B, and D are incorrect because hysterectomy involves the removal of the uterus, oophorectomy involves the removal of the ovaries, and salpingectomy involves the removal of the fallopian tubes, none of which are the appropriate procedures for treating a Bartholin's abscess.
5. 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.
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