HESI RN
Reproductive Health Exam Questions And Answers
1. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus
- A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
- B. The uterus decreases in size during pregnancy and remains rigid.
- C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
- D. Uterus becomes more rigid and hypertrophies.
Correct answer: A
Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.
2. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
- B. Delay in arrival at a health facility
- C. Delay in initiating treatment
- D. Excessive blood loss
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
3. Which of the following is not a complication of menopause?
- A. Fractures
- B. Alzheimer's disease
- C. Congestive heart failure
- D. Painful intercourse
Correct answer: C
Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.
4. The weight of the non-pregnant uterus is approximately ___________grams.
- A. 57
- B. 80
- C. 66
- D. 71
Correct answer: B
Rationale: The correct answer is B: 80. The non-pregnant uterus typically weighs around 80 grams. This weight may vary slightly among individuals, but 80 grams is a commonly accepted average. Choices A, C, and D are incorrect as they do not reflect the typical weight of the non-pregnant uterus. It is important to remember this approximate weight for medical reference and understanding of normal anatomical variations.
5. What is Carboprost used for?
- A. Affects milk production.
- B. Relieve constriction ring.
- C. Management of post-partum haemorrhage.
- D. Induce labor.
Correct answer: C
Rationale: Carboprost is used in the management of post-partum haemorrhage. This medication helps to reduce excessive bleeding after childbirth. Choices A, B, and D are incorrect. Carboprost does not affect milk production, relieve constriction ring, or induce labor.
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