at 16 weeks of pregnancy the breast changes include

HESI RN

Reproductive Health Exam

1. At 16 weeks of pregnancy, the breast changes include:

A. Montgomery's tubercles are prominent.
B. Darkening of the nipple.
C. Prickling, tingling sensation.
D. Colostrum can be expressed.

Correct answer: C

Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.

2. What is the purpose of Hysterosalpingo-contrast Sonography?

A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
C. Diagnose ovarian cancer using MRI technology.
D. Detect cancer cells in the cervix.

Correct answer: A

Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.

3. Lactational Amenorrhoea Method (LAM) is best for:

A. Clients who do not wish to have any more children
B. Clients with a baby less than 6 months postpartum
C. Clients who want to wait before having a first or another child
D. Clients with several sexual partners

Correct answer: B

Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.

4. 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.

5. The Wolffian duct is also known as ____________.

A. Mesonephric duct
B. Ejaculatory duct
C. Major sublingual duct
D. Cystic duct

Correct answer: A

Rationale: The correct answer is A: Mesonephric duct. The Wolffian duct is indeed also known as the mesonephric duct. This duct plays a vital role in the development of the male reproductive system by carrying sperm from the epididymis to the ejaculatory duct. Choice B, Ejaculatory duct, is incorrect as it refers to a different duct responsible for transporting semen from the vas deferens. Choices C and D, Major sublingual duct and Cystic duct, are unrelated to the Wolffian duct and are not correct answers in this context.