HESI RN
Reproductive System Exam Questions
1. 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.
2. What is the most common symptom in all clinical types of abortion EXCEPT:
- A. Lower abdominal pain
- B. Per vaginal bleeding
- C. Show
- D. Backache
Correct answer: C
Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.
3. Abortion is defined as:
- A. Bleeding per vaginum in early pregnancy
- B. Willingness to terminate pregnancy
- C. Expulsion of products of conception after the 28th week of gestation
- D. Expulsion of products of conception before the 28th week of gestation
Correct answer: D
Rationale: Abortion is defined as the expulsion of products of conception before the 28th week of gestation. Choice A is incorrect as it describes bleeding in early pregnancy, not the definition of abortion. Choice B is incorrect as it refers to the willingness to terminate a pregnancy rather than the actual act of expulsion. Choice C is incorrect as it defines abortion as the expulsion of products of conception after the 28th week of gestation, which is considered a stillbirth.
4. What is the primary use of Bromocriptine?
- A. Relieve constriction ring.
- B. Manage post-partum hemorrhage.
- C. Affect milk production.
- D. Be used in pre-eclampsia.
Correct answer: C
Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.
5. Treatment for condylomata acuminata includes the following EXCEPT:
- A. Vulvectomy
- B. Podophyllin application
- C. Laser therapy
- D. Electrocautery
Correct answer: A
Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.
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