HESI RN
Reproductive Health Exam
1. Appropriate Technologies and Skills:
- A. Must be selected according to universal standards
- B. Involves ensuring the woman delivers at the hospital
- C. Requires specific qualifications such as being a nurse
- D. Necessitates the presence of a doctor at the service providing facility
Correct answer: A
Rationale: The correct answer is A because appropriate technologies must adhere to universal standards to ensure their effectiveness. Choice B is incorrect because the question is not specifically referring to childbirth. Choice C is incorrect as it limits the scope to only nurses. Choice D is incorrect as it implies the necessity of a doctor, which may not always be the case.
2. Which of the following is not a role of Reproductive and Child Health Care (RCH) programs?
- A. Awareness about reproductive health
- B. Providing facilities to build a reproductively healthy society
- C. Providing support to reproductively sick people
- D. Promoting abortion
Correct answer: D
Rationale: The correct answer is D. Promoting abortion is not a role of the Reproductive and Child Health Care (RCH) programs. RCH programs focus on promoting awareness about reproductive health, providing facilities to build a reproductively healthy society, and offering support to reproductively sick individuals. The promotion of abortion is not within the scope of RCH programs, which aim to improve maternal and child health outcomes through education, healthcare services, and support systems.
3. Which of the following are outcomes of an ectopic pregnancy EXCEPT?
- A. Tubal abortion
- B. Tubal rupture
- C. Intra-tubal bleeding
- D. Secondary abdominal pregnancy
Correct answer: D
Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.
4. The placenta is developed from which part of the trophoblast?
- A. Chorionic Frondosum
- B. Anchoring Villi
- C. Chorionic Laeve
- D. Body Stalk
Correct answer: A
Rationale: The correct answer is A: Chorionic Frondosum. The placenta is developed from the chorionic frondosum part of the trophoblast. This structure gives rise to the fetal part of the placenta. Choices B, C, and D are incorrect. Anchoring Villi are projections from the chorionic plate that attach the placenta to the uterine wall. Chorionic Laeve refers to the smooth chorion that covers the fetal surface of the placenta. The Body Stalk is a structure that connects the early embryo to the trophoblastic pole of the blastocyst.
5. Outlet of the true pelvis anteriorly bounded by:
- A. Ischiopubic arch (T)
- B. Linea terminalis (F)
- C. Coccyx (T)
- D. Promontory of the sacrum (F)
Correct answer: A
Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.
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