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. Which group of the population does the Maternal nutrition component of IRH improve?
- A. Women and adolescent girls
- B. Pregnant women alone
- C. Pregnant women and all children under five
- D. All adolescents
Correct answer: A
Rationale: The correct answer is A: Women and adolescent girls. Maternal nutrition programs typically target women of reproductive age and adolescent girls to improve their health outcomes. Option B is incorrect because maternal nutrition initiatives extend beyond just pregnant women. Option C is incorrect because the focus is not on all children under five but specifically on women and adolescent girls. Option D is incorrect because the program does not target all adolescents, but rather women and adolescent girls.
3. Discuss the anatomical/physiological changes in pregnancy under the following: Kidney/renal system
- A. Kidneys increase in size, pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases.
- B. Kidneys decrease in size, and glomerular filtration rate decreases.
- C. There is no change in kidney size or ureter function, but the glomerular filtration rate decreases.
- D. Kidneys shrink, and ureters remain the same.
Correct answer: A
Rationale: During pregnancy, the kidneys increase in size, the pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases. This is due to the increased metabolic demands and hormonal changes during pregnancy. Choice B is incorrect as the kidneys do not decrease in size, and the glomerular filtration rate actually increases. Choice C is incorrect as there are changes in kidney size and ureter function during pregnancy. Choice D is incorrect as the kidneys do not shrink during pregnancy.
4. Which of the following are layers of endometrium in pregnancy EXCEPT?
- A. Decidua compacta
- B. Decidua spongiosum
- C. Decidua functionalis
- D. Decidua basalis
Correct answer: C
Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.
5. Which one is not a barrier method for birth control?
- A. Diaphragms
- B. Cervical caps
- C. Vaults
- D. Intrauterine Devices (IUDs)
Correct answer: D
Rationale: The correct answer is D, Intrauterine Devices (IUDs). Barrier methods of birth control physically block sperm from reaching the egg. Diaphragms, cervical caps, and vaults are examples of barrier methods as they create a barrier that prevents sperm from reaching the cervix. In contrast, IUDs work by altering the cervical mucus and uterine lining, making it difficult for sperm to reach the egg, but they do not physically block sperm like barrier methods do.
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