HESI RN
Reproductive System Exam Questions
1. Which of the following Leopold maneuvers assesses the fetal lie?
- A. Fundal grip
- B. Umbilical grip
- C. Pawlick grip
- D. Pelvic grip
Correct answer: A
Rationale: The correct answer is A: Fundal grip. Fundal grip is a specific Leopold maneuver used to assess the fetal lie by palpating the upper abdomen to determine the position of the baby's back and presenting part. This maneuver helps healthcare providers understand the orientation of the fetus within the uterus. Choice B, Umbilical grip, is not a recognized Leopold maneuver and does not assess fetal lie. Choice C, Pawlick grip, and choice D, Pelvic grip, are also not part of the standard Leopold maneuvers used to determine fetal lie.
2. Which technique is used to detect HIV/AIDS?
- A. Northern blot and ELISA
- B. Immunoblot and ELISA
- C. Western blot and ELISA
- D. Southern blot and ELISA
Correct answer: C
Rationale: The correct answer is C: Western blot and ELISA. Western blot and ELISA are commonly used techniques in the detection of HIV/AIDS. Western blot is used to confirm the presence of HIV antibodies in a patient's blood after an initial positive ELISA test. Northern blotting is a technique used for RNA analysis, not for detecting HIV/AIDS (Choice A). Immunoblotting is another term for Western blotting, so Choice B is incorrect. Southern blotting is used for DNA analysis, not for detecting HIV/AIDS (Choice D).
3. During a vaginal examination, which of the following statements is true?
- A. Cervical scrapes cytology can be taken in the same setting.
- B. Preferably done after bimanual examination.
- C. The cervix is best visualized with the Crisco's type of spectrum.
- D. During pregnancy, the cervix feels firm like the tip of the nose.
Correct answer: C
Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.
4. What lines the uterus?
- A. Endometrium.
- B. Myometrium.
- C. Perimetrium.
- D. Glandular tissue.
Correct answer: A
Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.
5. What is the area of the uterus where the fallopian tubes are inserted known as?
- A. Fundus
- B. Corpus or body
- C. Cavity
- D. Cornua
Correct answer: D
Rationale: The correct answer is D, Cornua. The cornua refers to the upper, horn-like parts of the uterus where the fallopian tubes are inserted. The fundus (choice A) is the rounded top portion of the uterus, the corpus or body (choice B) is the main part of the uterus excluding the cervix and fundus, and the cavity (choice C) refers to the internal space within the uterus. Therefore, choices A, B, and C are incorrect as they do not specifically denote the area where the fallopian tubes are inserted.
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