at 3 4 weeks of pregnancy the breast changes include

HESI RN

Reproductive System Exam Questions

1. At 3-4 weeks of pregnancy, the breast changes include:

A. Darkening of the nipple.
B. Prickling, tingling sensation.
C. Breast becomes tender.
D. Colostrum can be expressed.

Correct answer: C

Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.

2. Which one of the following statements is NOT true about menstruation?

A. The average amount of menstrual flow is 50 to 90 ml.
B. The menstrual flow constitutes serous fluid, necrotic slough.
C. The cycle is influenced by the ovarian hormones Estrogen and progesterone.
D. The menstrual flow has non-clotting blood.

Correct answer: D

Rationale: The correct answer is D. The statement that menstrual flow has non-clotting blood is incorrect because menstrual blood can indeed clot. Choices A, B, and C are all true statements about menstruation. Choice A reflects the average amount of menstrual flow, choice B describes the components of menstrual flow, and choice C correctly identifies the ovarian hormones that influence the menstrual cycle.

3. Which of the following is NOT a strategy for family planning?

A. Integrating family planning services with other Reproductive Health programs
B. Expanding access to family planning through non-public delivery systems
C. Targeting family planning services to priority groups
D. Expanding programs of immunization

Correct answer: D

Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.

4. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?

A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
B. Pink mucosa with multiple small, fluid-filled protrusions
C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os

Correct answer: C

Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.

5. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

A. The posterior vaginal wall
B. The anterior vaginal wall
C. The abdominal wall
D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.