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. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?
- A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
- B. Pink mucosa with multiple small, fluid-filled protrusions
- C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
- D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os
Correct answer: C
Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.
3. What is Dinoprostone commonly used for?
- A. Cervical priming.
- B. Pain management during labor.
- C. Management of pre-term labor.
- D. Management of post-partum hemorrhage.
Correct answer: C
Rationale: Dinoprostone is commonly used for the management of pre-term labor. While it can be used for cervical priming, its primary indication is for pre-term labor. Choice A is partially correct but not the most common use of Dinoprostone. Choices B and D are incorrect as Dinoprostone is not primarily used for pain management during labor or for the management of post-partum hemorrhage.
4. At what point is a fetus considered viable?
- A. 26 weeks
- B. 28 weeks
- C. 37 weeks
- D. 12 weeks
Correct answer: C
Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.
5. Inevitable abortion occurs when:
- A. The ovum dies in utero and the decidua capsularis remains intact.
- B. The cervix is open, and the products of conception are about to be expelled.
- C. The products of conception are expelled before the 20th week of gestation.
- D. The fetus dies and is expelled in the first trimester.
Correct answer: B
Rationale: Inevitable abortion occurs when the cervix is open, and the products of conception are about to be expelled. This is a critical point in the process of spontaneous abortion, indicating that expulsion of the products of conception is imminent. Choice A is incorrect as it describes a missed abortion where the ovum dies but the decidua capsularis remains intact. Choice C is incorrect as it describes an incomplete abortion where the products of conception are expelled before the completion of 20 weeks of gestation. Choice D is incorrect as it describes a missed abortion where the fetus dies and is expelled in the first trimester.
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