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. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:
- A. 2 months
- B. 3 months
- C. 4 months
- D. 5 months
Correct answer: C
Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.
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. What is required for privacy in reproductive health services?
- A. Covering windows and placing partitions between examination areas.
- B. Placing examination tables so that women will be exposed during exams.
- C. Allowing healthcare staff to discuss patients openly in the clinic.
- D. Forcing patients to undergo procedures without proper explanation.
Correct answer: A
Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.
5. Which of the following are signs and symptoms of vaginitis EXCEPT?
- A. Vaginal itching and irritation
- B. Heavy vaginal bleeding
- C. Pain during coitus
- D. Painful urination
Correct answer: B
Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.
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