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 of the following is included in a gynecological examination?
- A. Abdominal examination
- B. General and systemic examination
- C. Obstetric exam
- D. Pelvic examination
Correct answer: A
Rationale: Correct! A gynecological examination typically includes an abdominal examination to assess the overall health of the patient. This includes checking for any abnormalities, tenderness, or masses. General and systemic examinations are also important as they provide valuable information about the patient's overall health status. Pelvic examination is another essential component of a gynecological exam to assess the reproductive organs. Obstetric exams, focusing on pregnant women, are not part of routine gynecological examinations.
3. Appropriate Technologies and Skills involve:
- A. Selecting technologies according to universal standards.
- B. Ensuring a doctor is present at the service-providing facility.
- C. Requiring that health care providers are nurses.
- D. Selecting technologies that are easy to use but not necessarily effective.
Correct answer: A
Rationale: The correct answer is A: 'Selecting technologies according to universal standards.' Appropriate technologies and skills involve choosing tools and methods based on universal standards to ensure effectiveness and efficiency. Choice B is incorrect because the presence of a doctor is not necessarily a defining factor for appropriate technologies and skills. Choice C is incorrect as appropriate technologies are not limited to being utilized only by nurses. Choice D is incorrect as the focus should be on selecting technologies that are both easy to use and effective, not one or the other.
4. 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.
5. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
- B. Delay in arrival at a health facility
- C. Delay in initiating treatment
- D. Excessive blood loss
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
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