HESI RN
Reproductive System Exam Questions
1. What is the purpose of hysteroscopy?
- A. View the uterine cavity
- B. Perform a D&C procedure
- C. Remove the fetus
- D. Visualize the fallopian tubes
Correct answer: A
Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.
2. Which of the following is a symptom of menopause?
- A. Bleeding per vagina
- B. Sleeping all the time
- C. Insomnia
- D. Increased concentration
Correct answer: C
Rationale: Insomnia is a common symptom of menopause. During menopause, hormonal changes can lead to sleep disturbances, including difficulty falling asleep or staying asleep. Choice A, 'Bleeding per vagina,' is not a typical symptom of menopause but should prompt further evaluation. Choice B, 'Sleeping all the time,' is not a common symptom of menopause; in fact, insomnia, rather than excessive sleep, is more prevalent. Choice D, 'Increased concentration,' is not a symptom of menopause; cognitive changes like forgetfulness or difficulty concentrating may occur, but increased concentration is not a typical manifestation.
3. Which of the following are examples of external genitalia?
- A. Mons veneris
- B. Labia majora
- C. Vagina
- D. Cervix
Correct answer: A
Rationale: The correct answer is A: Mons veneris. The mons veneris and labia majora are considered external genitalia as they are visible externally. The vagina and cervix, on the other hand, are internal structures. The vagina is the canal leading from the external genitals to the cervix, which is the lower, narrow portion of the uterus.
4. 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.
5. Where does the ovum receive the sperm?
- A. Animal pole
- B. Vegetal pole
- C. Zona pellucida
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'Zona pellucida.' The ovum receives the sperm at the zona pellucida, which is the glycoprotein layer surrounding the plasma membrane of the oocyte. This layer plays a crucial role in preventing polyspermy. Choices A and B, 'Animal pole' and 'Vegetal pole,' are incorrect as they refer to different regions of the egg and are not where the sperm fertilizes the ovum. Choice D, 'None of the above,' is incorrect as the sperm indeed interacts with the zona pellucida during fertilization.
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