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 missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
3. Which of the following are types of induced abortions?
- A. Therapeutic abortion
- B. Missed abortion
- C. Inevitable abortion
- D. Threatened abortion
Correct answer: A
Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.
4. The structures of the vulva lie ____________ to the vagina.
- A. Posterior
- B. Inferior
- C. Lateral
- D. Superior
Correct answer: B
Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.
5. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
- B. Broad ligaments
- C. Cardinal ligaments
- D. Pubocervical ligaments
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
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