HESI RN
Reproductive Health Exam
1. Which of the following is a common presentation in women with polycystic ovarian syndrome?
- A. Oligomenorrhea, obesity, and hirsutism
- B. Amenorrhea, generalized hair loss, and weight gain
- C. Repeated ectopic pregnancies and chronic pelvic pain
- D. Fatigue, body aches, and menorrhagia
Correct answer: A
Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.
2. What is the definition of incomplete abortion?
- A. Part of the products of conception, especially the fetus, is expelled while the placenta and membranes are retained.
- B. All products of conception are expelled, and there is minimal per vaginal bleeding.
- C. The cervix is closed, and the products of conception remain in the uterus.
- D. The cervix dilates, and the products of conception are expelled.
Correct answer: A
Rationale: Incomplete abortion is defined as part of the products of conception, especially the fetus, being expelled while the placenta and membranes are retained. This is the correct definition, making option A the right choice. Option B is incorrect as it describes a complete abortion. Option C is incorrect because in incomplete abortion, the products of conception are not retained in the uterus, and the cervix may be open. Option D is incorrect as it describes a situation more likely to be seen in an inevitable abortion.
3. Which of the following is an example of an oviparous animal?
- A. Pigeon
- B. Elephant
- C. Sheep
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: Pigeon. Oviparous animals are those that lay eggs, and pigeons fall under this category. Choice B, Elephant, is incorrect because elephants are viviparous, giving birth to live young. Choice C, Sheep, is also incorrect as sheep are viviparous animals. Choice D, None of the above, is not the correct answer as a pigeon is indeed an example of an oviparous animal.
4. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
- B. Delay in arrival at a health facility
- C. Delay in initiating treatment
- D. Excessive blood loss
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
5. Appropriate Technologies and Skills:
- A. Must be selected according to universal standards
- B. Involves ensuring the woman delivers at the hospital
- C. Requires specific qualifications such as being a nurse
- D. Necessitates the presence of a doctor at the service providing facility
Correct answer: A
Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.
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