HESI RN
Reproductive Health Exam
1. Which of the following are layers of the anterior abdominal wall?
- A. Linear albicantes
- B. Superficial fascia
- C. Visceral peritoneum
- D. Fascia transversalis
Correct answer: A
Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.
2. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system
- A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
- B. Blood volume and plasma volume decrease, and red blood cells decrease.
- C. No changes occur in the haematological system during pregnancy.
- D. Platelet count remains constant, and no change in coagulation factors.
Correct answer: A
Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.
3. To ensure the provision of appropriate services for overcoming infertility barriers to the achievement of reproductive intentions, Integrated Reproductive Health has incorporated a component of:
- A. Infertility
- B. Safe abortions
- C. STIs and HIV
- D. Family Planning
Correct answer: A
Rationale: The correct answer is A: Infertility. Integrated Reproductive Health incorporates a component focused on infertility to address barriers to achieving reproductive intentions. This inclusion is crucial as infertility can be a significant obstacle to reproductive health. Choice B, safe abortions, is incorrect as it is not directly related to overcoming infertility barriers. Choice C, STIs and HIV, while important for reproductive health, is not specifically addressing infertility. Choice D, family planning, although relevant for reproductive health, is not the primary focus when addressing infertility barriers.
4. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?
- A. A carneous mole.
- B. A hydatidiform mole.
- C. A vesicular mole.
- D. A chorionic mole.
Correct answer: A
Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.
5. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system
- A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
- B. The heart is displaced downward and to the right, and blood pressure increases.
- C. The cardiovascular system remains unchanged during pregnancy.
- D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.
Correct answer: A
Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.
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