HESI RN
Reproductive Health Exam
1. A solid ball of 12-16 cells having undergone mitotic division after fertilization is:
- A. Zygote
 - B. Blastomere
 - C. Morula
 - D. Blastocyst
 
Correct answer: C
Rationale: A morula is a stage in embryonic development where a solid ball of 12-16 cells is formed after several rounds of mitotic division following fertilization. The zygote is the initial cell formed by the fusion of sperm and egg. Blastomere refers to individual cells in a developing embryo. A blastocyst is a later stage where a fluid-filled cavity forms within the embryo. Therefore, the correct answer is 'Morula.'
2. 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.
3. Which of the following is incorrect about oral contraceptive pill 'Saheli'?
- A. It is taken by females
 - B. It has very few side effects
 - C. It is a steroidal preparation
 - D. It is 'Once a week' pill
 
Correct answer: C
Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.
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. When does missed abortion occur?
- A. The fetus dies and is retained in utero with the placenta and membranes.
 - B. All products of conception are expelled with minimal bleeding.
 - C. The cervix remains closed, and the products of conception remain in the uterus.
 - D. The cervix remains closed, but there is heavy bleeding.
 
Correct answer: C
Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.
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