HESI RN
Reproductive Health Exam
1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
- A. Risk for infection
- B. Pain
- C. Knowledge Deficit
- D. Anticipatory Grieving
Correct answer: D
Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.
2. What is the role of the progesterone hormone?
- A. Stimulates the development of the nipple and duct system in the breast.
- B. Stimulates the storage of milk.
- C. Stimulates the secretion of relaxin.
- D. Stimulates the development of glandular tissue in the breast.
Correct answer: A
Rationale: The correct answer is A. Progesterone hormone's role includes stimulating the development of the nipple and duct system in the breast. This hormone is crucial for preparing the breast for potential pregnancy by promoting the growth of structures necessary for milk production. Choices B, C, and D are incorrect because progesterone primarily focuses on preparing the breast for lactation rather than directly stimulating milk storage, relaxin secretion, or glandular tissue development.
3. What is the role of the corpus luteum during the menstrual cycle?
- A. The corpus luteum produces estrogen to maintain the endometrium.
- B. The corpus luteum produces progesterone to maintain the endometrium.
- C. The corpus luteum produces testosterone to inhibit ovulation.
- D. The corpus luteum has no significant role during the menstrual cycle.
Correct answer: B
Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.
4. What action does the copper used in Copper T have?
- A. Blastocidal
- B. Bacteriostatic
- C. Bacteriocidal
- D. Spermicidal
Correct answer: D
Rationale: The correct answer is D, Spermicidal. The copper in Copper T exerts its action by affecting sperm viability and motility, thus preventing fertilization. Choices A, B, and C are incorrect because Copper T primarily works by preventing sperm from reaching and fertilizing the egg, rather than acting on blastocysts, bacteria, or bacteriocins.
5. 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).
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