HESI RN
Reproductive Health Exam
1. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
2. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:
- A. Menorrhagia
- B. Metrorrhagia
- C. Polymenorrhoea
- D. Epimenorrhoea
Correct answer: B
Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.
3. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
4. 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.
5. During menopause, what do ovaries stop producing?
- A. Progesterone and Estrogen
- B. Prolactin
- C. Human chorionic gonadotropin
- D. Oxytocin
Correct answer: A
Rationale: During menopause, the ovaries stop producing progesterone and estrogen. Progesterone and estrogen are hormones essential for the menstrual cycle and reproductive functions. Prolactin is a hormone responsible for milk production in the breasts and is not primarily produced by the ovaries. Human chorionic gonadotropin (hCG) is produced during pregnancy to support the production of progesterone and estrogen. Oxytocin is a hormone involved in labor and breastfeeding, not primarily produced by the ovaries.
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