HESI RN
Reproductive Health Exam
1. What is the purpose of Hysterosalpingo-contrast Sonography?
- A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
- B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
- C. Diagnose ovarian cancer using MRI technology.
- D. Detect cancer cells in the cervix.
Correct answer: A
Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.
2. In Primary Health care, the concept of accessibility requires that:
- A. Patients should be required to accept one service in order to gain access to another type of service.
- B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
- C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
- D. Patients' access to services should be based on one's educational status.
Correct answer: B
Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.
3. During which phase of the menstrual cycle does the Graafian follicle rupture?
- A. Regenerative
- B. Menstruation
- C. Ovulation
- D. Proliferative
Correct answer: C
Rationale: The correct answer is C: Ovulation. The Graafian follicle ruptures during the ovulation phase, releasing the mature egg from the ovary. This process marks the midpoint of the menstrual cycle. Choice A, Regenerative, is incorrect as it does not correspond to a specific phase of the menstrual cycle. Choice B, Menstruation, is incorrect because menstruation is the shedding of the uterine lining and occurs after ovulation if fertilization does not occur. Choice D, Proliferative, is incorrect as it refers to the phase in which the uterine lining thickens in preparation for a potential embryo implantation, which happens after ovulation.
4. When does missed abortion occur?
- A. The fetus dies and is retained in utero with the placenta and membranes.
- B. All products of conception are expelled with minimal bleeding.
- C. The cervix remains closed, and the products of conception remain in the uterus.
- D. The cervix remains closed, but there is heavy bleeding.
Correct answer: C
Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.
5. Which of the following hormones promotes endometrial growth?
- A. LH
- B. FSH
- C. Estrogen
- D. Progesterone
Correct answer: C
Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.
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