HESI RN
Reproductive Health Exam
1. The Gravindex test is used to detect Human Chorionic Gonadotrophic hormone (HCG) in:
- A. Urine or whole blood
- B. Amniotic fluid
- C. Saliva
- D. Cervical mucus
Correct answer: A
Rationale: The correct answer is A: Urine or whole blood. The Gravindex test is designed to detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood samples. HCG is a hormone produced during pregnancy, and its presence in urine or blood can indicate pregnancy. Choices B, C, and D are incorrect as the Gravindex test is not intended to detect HCG in amniotic fluid, saliva, or cervical mucus. These bodily fluids are not typically used for pregnancy testing purposes.
2. Why is abortion important?
- A. It is easily conducted
- B. It can easily be diagnosed
- C. It causes serious complications such as infections and maternal death
- D. All of the above
Correct answer: C
Rationale: Abortion is important due to the serious complications it can cause, such as infections and maternal death. Choices A and B are incorrect because ease of conducting or diagnosing abortion procedures does not inherently make abortion important. Choice D is incorrect because not all the options listed are reasons why abortion is important; only choice C highlights the critical aspect of potential complications.
3. Which contraceptive option suppresses sperm motility and inhibits the implantation of the blastocyst?
- A. Copper-T
- B. Diaphragm
- C. Contraceptive pills
- D. Condom
Correct answer: A
Rationale: The correct answer is A, Copper-T. Copper-T is an intrauterine device that releases copper ions, which suppress sperm motility and inhibit the implantation of the blastocyst. This method mainly works by preventing fertilization and, if fertilization occurs, by making the endometrium less receptive to implantation. Choices B, C, and D are incorrect. The diaphragm is a barrier method that prevents sperm from reaching the cervix; contraceptive pills mainly work by suppressing ovulation and altering cervical mucus to prevent sperm from reaching the egg; condoms are barrier methods that prevent sperm from entering the vagina.
4. How does human sperm move?
- A. Flagella
- B. Cilia
- C. Neutrophils
- D. None of the above
Correct answer: A
Rationale: Human sperm moves using flagella, which are whip-like structures that aid in propulsion. Flagella are tail-like structures found in sperm cells and help them swim towards the egg for fertilization. Cilia are shorter, hair-like structures that are not involved in the movement of sperm. Neutrophils are a type of white blood cell involved in the immune response and are not related to sperm locomotion.
5. Outlet of the true pelvis anteriorly bounded by:
- A. Ischiopubic arch (T)
- B. Linea terminalis (F)
- C. Coccyx (T)
- D. Promontory of the sacrum (F)
Correct answer: A
Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.
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