HESI RN
Reproductive Health Exam Questions And Answers
1. At 8-12 weeks of pregnancy, the breast changes include:
- A. Prickling, tingling sensation.
 - B. Nipples become prominent and mobile.
 - C. Darkening of the nipple.
 - D. Breast start producing milk
 
Correct answer: D
Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.
2. Which of the following is included in a gynecological examination?
- A. Abdominal examination
 - B. General and systemic examination
 - C. Obstetric exam
 - D. Pelvic examination
 
Correct answer: A
Rationale: Correct! A gynecological examination typically includes an abdominal examination to assess the overall health of the patient. This includes checking for any abnormalities, tenderness, or masses. General and systemic examinations are also important as they provide valuable information about the patient's overall health status. Pelvic examination is another essential component of a gynecological exam to assess the reproductive organs. Obstetric exams, focusing on pregnant women, are not part of routine gynecological examinations.
3. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
 - B. Brownish vaginal discharge
 - C. Profuse per vagina bleeding
 - D. Open cervical OS
 
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
4. What is the definition of incomplete abortion?
- A. Part of the products of conception, especially the fetus, is expelled while the placenta and membranes are retained.
 - B. All products of conception are expelled, and there is minimal per vaginal bleeding.
 - C. The cervix is closed, and the products of conception remain in the uterus.
 - D. The cervix dilates, and the products of conception are expelled.
 
Correct answer: A
Rationale: Incomplete abortion is defined as part of the products of conception, especially the fetus, being expelled while the placenta and membranes are retained. This is the correct definition, making option A the right choice. Option B is incorrect as it describes a complete abortion. Option C is incorrect because in incomplete abortion, the products of conception are not retained in the uterus, and the cervix may be open. Option D is incorrect as it describes a situation more likely to be seen in an inevitable abortion.
5. 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.
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