HESI RN
Reproductive Health Exam
1. Which of the following methods is used for permanent contraception in males?
- A. Vasectomy
- B. Tubal ligation
- C. Condoms
- D. Coitus interruptus
Correct answer: A
Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.
2. What do you call a system involving other government Ministries, Non-Governmental Organizations, Politicians, Policy makers, Senior managers, the Community, Church organizations, and other concerned bodies and users of services?
- A. Community participation
- B. Peer consultation
- C. Multi-sectoral approach
- D. Appropriate technology
Correct answer: C
Rationale: A multi-sectoral approach involves collaboration among various sectors and stakeholders to address complex issues comprehensively. In this context, it ensures that different entities work together to provide inclusive and effective services. Choice A, 'Community participation,' focuses more on the involvement of the community specifically. Choice B, 'Peer consultation,' pertains to seeking advice or input from peers within the same field. Choice D, 'Appropriate technology,' refers to the use of suitable technology for a particular situation, which is not the primary focus of the described system.
3. 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.
4. In Primary Health care, the concept of accessibility requires that:
- A. Patients should be required to accept one service in order to gain access to another type of service.
- B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
- C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
- D. Patients' access to services should be based on one's educational status.
Correct answer: B
Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.
5. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
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