HESI RN
Reproductive Health Exam
1. Which of the following structures is responsible for the production of sperm?
- A. Epididymis
- B. Seminal vesicles
- C. Testes
- D. Prostate gland
Correct answer: C
Rationale: The testes are the male reproductive organs responsible for the production of sperm through a process called spermatogenesis. The epididymis is a structure where sperm mature and are stored temporarily. Seminal vesicles produce a significant portion of the fluid that ultimately becomes semen, but they do not produce sperm. The prostate gland contributes additional fluid to semen but does not produce sperm. Therefore, the correct answer is the testes.
2. Amniocentesis, a prenatal diagnostic test used to determine fetal sex, genetic anomalies, and biochemical abnormalities, is based on:
- A. The karyotyping of the amniotic fluid
- B. Chorionic villus sampling
- C. Umbilical cord blood sampling
- D. Ultrasound
Correct answer: A
Rationale: The correct answer is A. Amniocentesis involves the analysis of the fetal cells present in the amniotic fluid, which is extracted from the amniotic sac surrounding the developing fetus. This fluid contains cells shed by the fetus, which can be cultured and analyzed to obtain a karyotype, providing information about the fetal sex, genetic anomalies, and biochemical abnormalities. Choices B, C, and D are incorrect because chorionic villus sampling involves obtaining a sample of the chorionic villi from the placenta, not the amniotic fluid; umbilical cord blood sampling is typically used for other purposes like assessing the baby's blood for infections or genetic disorders; and ultrasound is a diagnostic imaging technique that does not involve the analysis of fetal cells for genetic information.
3. Approximately how many primordial follicles are present in the cortex of the ovary at birth?
- A. 250,000
- B. 200,000
- C. 150,000
- D. 100,000
Correct answer: A
Rationale: The correct answer is A: 250,000. At birth, there are approximately 250,000 primordial follicles in the cortex of each ovary. These primordial follicles represent the reserve of oocytes that a female will have throughout her reproductive life. Choice B, 200,000, is incorrect as the number is higher. Choices C and D, 150,000 and 100,000 respectively, are also incorrect as they underestimate the actual number of primordial follicles present at birth.
4. What is required for privacy in reproductive health services?
- A. Covering windows and placing partitions between examination areas.
- B. Placing examination tables so that women will be exposed during exams.
- C. Allowing healthcare staff to discuss patients openly in the clinic.
- D. Forcing patients to undergo procedures without proper explanation.
Correct answer: A
Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.
5. 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.
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