which of the following is not a phase of the menstrual cycle

HESI RN

Reproductive Health Exam Questions And Answers

1. Which of the following is NOT a phase of the menstrual cycle?

A. Follicular phase
B. Ovulatory phase
C. Luteal phase
D. Secretory phase

Correct answer: D

Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.

2. When does missed abortion occur?

A. The fetus dies and is retained in utero with the placenta and membranes.
B. All products of conception are expelled with minimal bleeding.
C. The cervix remains closed, and the products of conception remain in the uterus.
D. The cervix remains closed, but there is heavy bleeding.

Correct answer: C

Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.

3. Septic abortion is characterized by:

A. Backache.
B. Os open.
C. Heavy bleeding.
D. Maternal pyrexia.

Correct answer: D

Rationale: Septic abortion is characterized by maternal pyrexia. Maternal pyrexia, or fever, is a hallmark sign of septic abortion due to infection. Backache and heavy bleeding can be present in abortion but are not specific to septic abortion. 'Os open' does not directly characterize septic abortion.

4. What is required for privacy in reproductive health services?

A. Covering windows and placing partitions between examination areas.
B. Placing examination tables so that women will be exposed during exams.
C. Allowing healthcare staff to discuss patients openly in the clinic.
D. Forcing patients to undergo procedures without proper explanation.

Correct answer: A

Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.

5. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:

A. Oophoritis
B. Endometritis
C. Salpingectomy
D. Salpingitis

Correct answer: D

Rationale: Pelvic Inflammatory Disease (PID) is known to affect the fallopian tubes, leading to inflammation, which is termed as salpingitis. Choice A, Oophoritis, refers to inflammation of the ovaries, not the fallopian tubes. Choice B, Endometritis, is inflammation of the endometrium, the inner lining of the uterus, not the fallopian tubes. Choice C, Salpingectomy, is a surgical procedure to remove a fallopian tube and is not a condition caused by PID.