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 not a complication of menopause?
- A. Fractures
- B. Alzheimer's disease
- C. Congestive heart failure
- D. Painful intercourse
Correct answer: C
Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes, and painful intercourse due to vaginal dryness and thinning of tissues. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication associated with menopause.
3. 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.
4. Which of the following is subsidiary uterine support?
- A. Suspensory ligament
- B. Cardinal ligament
- C. Transcervical ligament
- D. Maklouf ligament
Correct answer: B
Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.
5. Which of these methods can be used for the transfer of zygote or early embryo into the fallopian tube?
- A. GIFT
- B. IUT
- C. ZIFT
- D. ICSI
Correct answer: C
Rationale: The correct answer is C, ZIFT (Zygote Intrafallopian Transfer). ZIFT involves transferring a zygote or early embryo into the fallopian tube. GIFT (Gamete Intrafallopian Transfer - A) involves transferring unfertilized eggs and sperm into the fallopian tube for fertilization to occur inside the woman's body, not a zygote or early embryo. IUT (Intrauterine Transfer - B) is not specifically for transferring the zygote or early embryo into the fallopian tube, but rather into the uterus. ICSI (Intracytoplasmic Sperm Injection - D) is a technique where a single sperm is injected directly into an egg, not related to transferring embryos into the fallopian tube.
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