HESI RN
Reproductive System Exam Questions
1. What is dysmenorrhoea?
- A. Heavy menstruation
- B. Light menstruation
- C. Painful menstruation
- D. Infrequent menstruation
Correct answer: C
Rationale: Dysmenorrhoea is the medical term for painful menstruation. It is characterized by cramp-like abdominal pain that occurs just before or during menstruation. Choice A, heavy menstruation, is referred to as menorrhagia. Choice B, light menstruation, is not a term used to describe a specific menstrual condition. Choice D, infrequent menstruation, is known as oligomenorrhea, not dysmenorrhoea.
2. The endometrial tissue of the cervix is arranged in folds known as:
- A. Racemose glands
- B. Rugae
- C. Arbor vitae
- D. Peritoneum
Correct answer: B
Rationale: The endometrial tissue of the cervix is arranged in folds known as rugae, not Arbor vitae. Rugae are commonly found in anatomical structures like the stomach and bladder to allow expansion. Choices A, C, and D are incorrect. Racemose glands refer to branched compound glands, Arbor vitae is the tree-like appearance of the cerebellum, and Peritoneum is the serous membrane lining the abdominal cavity.
3. In the past, when was a woman only allowed to access Family planning methods?
- A. when she was married
- B. when she had more than four children
- C. when she produced a letter of consent from the husband
- D. when the doctors recommended
Correct answer: C
Rationale: In the past, women were often required to produce a letter of consent from their husband to access family planning services. This requirement stemmed from traditional beliefs and societal norms that placed men in control of such decisions. Choice A is incorrect because marital status alone did not determine access to family planning. Choice B is incorrect because the number of children a woman had did not dictate her access to family planning. Choice D is incorrect because medical recommendations alone did not influence a woman's access to family planning services in the past.
4. 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.
5. Oligomenorrhea is defined as a cycle longer than:
- A. 28 days
- B. 30 days
- C. 35 days
- D. 40 days
Correct answer: C
Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.
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