HESI RN
Reproductive Health Exam
1. Which of the following tests is positive in pelvic inflammatory disease?
- A. Cervical excitation test
- B. Chadwick sign
- C. Jacquiners sign
- D. Palmers sign
Correct answer: A
Rationale: The correct answer is A: Cervical excitation test. The cervical excitation test is positive in pelvic inflammatory disease. This test involves pain or tenderness upon movement of the cervix, indicating inflammation of the pelvic organs. Chadwick sign (choice B) refers to a bluish discoloration of the cervix, vagina, and labia due to increased vascularity and is not a test for PID. Jacquiners sign (choice C) and Palmers sign (choice D) are not recognized clinical signs or tests for PID, making them incorrect choices.
2. 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.
3. Why is it important to involve both men and women in many aspects of the RH program?
- A. Promote responsible and caring attitudes and behavior for the benefit of all
- B. Prevent abuse of pregnant women
- C. Minimize sexually transmitted diseases
- D. Promote love and care among couples
Correct answer: A
Rationale: Involving both men and women in the RH program is crucial to promote responsible and caring attitudes and behavior for the benefit of all. This inclusive approach ensures that diverse perspectives are considered, leading to better outcomes and fostering a sense of shared responsibility. While preventing abuse of pregnant women is important, it is just one aspect of the broader goal of promoting overall well-being. Similarly, minimizing sexually transmitted diseases is crucial but not the sole reason for involving both genders. Promoting love and care among couples is desirable, but the primary focus should be on fostering responsible and caring attitudes for the benefit of all individuals involved in reproductive health programs.
4. The patient about to undergo gynecological surgery is put on nil by mouth for ____ before surgery to prevent aspiration.
- A. 2-4 hours
- B. 3-5 hours
- C. 4-6 hours
- D. 5-7 hours
Correct answer: C
Rationale: Patients undergoing gynecological surgery are typically advised to be nil by mouth for 4-6 hours before the procedure to reduce the risk of aspiration. This duration allows the stomach to empty its contents, decreasing the likelihood of regurgitation and aspiration of stomach contents during surgery. Choices A, B, and D have shorter durations and may not provide sufficient time for adequate gastric emptying, increasing the risk of aspiration.
5. In order to provide services effectively and in the best interests of the whole family:
- A. The wife's relatives need to be contacted
- B. It's important to seek the services of a traditional healer
- C. Health providers need to be aware of the roles and decision-making process within the family
- D. Health providers need to conduct door-to-door sensitization on health matters
Correct answer: C
Rationale: The correct answer is C: 'Health providers need to be aware of the roles and decision-making process within the family.' To provide services effectively, health providers must understand the dynamics within a family, including who makes decisions and how roles are distributed. This knowledge helps them tailor their services to meet the needs and preferences of the whole family. Choices A and B are incorrect because contacting the wife's relatives or seeking the services of a traditional healer may not necessarily align with providing effective services based on family dynamics. Choice D is also incorrect as door-to-door sensitization may not directly address the internal dynamics of a family.
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