HESI RN
Reproductive Health Exam Questions And Answers
1. 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.
2. What should be included in the differential diagnosis of ectopic pregnancy?
- A. Inevitable abortion
- B. Dysmenorrhea
- C. Twisted ovarian cyst
- D. Fibroids
Correct answer: C
Rationale: In the differential diagnosis of ectopic pregnancy, conditions such as twisted ovarian cysts should be considered. Twisted ovarian cysts can present with similar symptoms to ectopic pregnancy, making it important to include them in the differential diagnosis. Choices A, B, and D are not typically part of the differential diagnosis of ectopic pregnancy. Inevitable abortion refers to an imminent miscarriage, dysmenorrhea is characterized by painful menstruation, and fibroids are benign growths in the uterus, none of which are directly related to ectopic pregnancy.
3. What is the inner lining of the non-pregnant uterus called?
- A. Decidua
- B. Myometrium
- C. Endometrium
- D. Sponge layer
Correct answer: C
Rationale: The correct answer is C, Endometrium. The endometrium is the inner lining of the non-pregnant uterus that undergoes cyclic changes in response to hormonal fluctuations during the menstrual cycle. Choice A, Decidua, is the specialized membrane formed during pregnancy. Choice B, Myometrium, refers to the middle layer of the uterine wall composed of smooth muscle. Choice D, Sponge layer, is not a term used to describe the inner lining of the uterus.
4. What is the measurement of the breast areola?
- A. 3.5cm
- B. 2.5cm
- C. 4.5cm
- D. 1.5cm
Correct answer: B
Rationale: The correct answer is 2.5 cm. The average measurement of the areola is approximately 2.5 cm. Choices A, C, and D are incorrect as they do not align with the typical measurement of the breast areola.
5. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:
- A. The posterior vaginal wall
- B. The anterior vaginal wall
- C. The abdominal wall
- D. The rectal wall
Correct answer: A
Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.
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