basal body temperature rise of is seen in the luteal phase due to thermogenic effects of a metabolite of progesterone in a normal cycle

HESI RN

Reproductive Health Exam

1. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:

A. 0.1-0.5
B. 0.2-0.5
C. 1.0-2.0
D. 1.5-2.0

Correct answer: B

Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.

2. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
B. The heart is displaced downward and to the right, and blood pressure increases.
C. The cardiovascular system remains unchanged during pregnancy.
D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

3. What is a characteristic of threatening abortion?

A. Os open.
B. Firm contracted uterus.
C. Heavy bleeding.
D. Severe cramping.

Correct answer: B

Rationale: Threatening abortion is characterized by a firm contracted uterus with an open os. This presentation indicates a risk of miscarriage. Choice A ('Os open') is not specific enough and does not fully describe the condition. Choices C ('Heavy bleeding') and D ('Severe cramping') can also be present in threatening abortion, but the primary characteristic is a firm contracted uterus with an open os.

4. 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.

5. Which hormone is primarily responsible for the development of female secondary sexual characteristics?

A. Progesterone
B. Testosterone
C. Estrogen
D. Oxytocin

Correct answer: C

Rationale: Estrogen is primarily responsible for the development of female secondary sexual characteristics. Progesterone, while important in the menstrual cycle and pregnancy, is not primarily responsible for secondary sexual characteristics. Testosterone is the primary male sex hormone. Oxytocin is involved in labor, lactation, and social bonding, but not in the development of female secondary sexual characteristics.