confidentiality in reproductive health services means

HESI RN

Reproductive Health Exam

1. What does confidentiality in reproductive health services mean?

A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
B. Sharing patient information with all healthcare staff.
C. Sharing patient information with their family members.
D. Allowing patient information to be discussed in public areas.

Correct answer: A

Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.

2. 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.

3. At 6-8 weeks of pregnancy, the breast changes include:

A. Colostrum can be expressed.
B. Breasts become tender.
C. Montgomery's tubercles are prominent.
D. Nipples become prominent and mobile.

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

4. At 34-40 weeks of pregnancy, the breast changes include:

A. Nipples become prominent and mobile.
B. Colostrum can be expressed.
C. Breasts become tender.
D. Montgomery's tubercles are prominent.

Correct answer: D

Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.

5. Laparoscopy uses a small instrument known as a laparoscope to:

A. Take very detailed photographs
B. Insert a hysteroscope for D&C
C. Perform an abortion procedure
D. Perform a hysterectomy

Correct answer: A

Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.