HESI RN
Reproductive Health Exam
1. What is one role of the hormone estrogen?
- A. Stimulates the development of the milk-producing tissue.
- B. Stimulates the production of lactoferrin.
- C. Stimulates the development of the nipple and duct system in the breast.
- D. Stimulates the secretion of relaxin.
Correct answer: A
Rationale: The correct answer is A: Estrogen stimulates the development of the milk-producing tissue in the breast. This hormone is essential in preparing the breast for milk production. Choice B is incorrect because lactoferrin production is not a primary role of estrogen. Choice C is incorrect as estrogen primarily influences the development of the breast tissue rather than specifically the nipple and duct system. Choice D is incorrect because relaxin secretion is not a function typically associated with estrogen.
2. The menstrual disorder in which there is an absence or suppression of the normal menstrual period is called:
- A. Dysmenorrhoea
- B. Polymenorrhoea
- C. Menorrhagia
- D. Amenorrhoea
Correct answer: D
Rationale: Amenorrhoea is the correct term for the absence or suppression of the menstrual period. Dysmenorrhoea refers to painful menstruation, Polymenorrhoea is characterized by frequent, short menstrual cycles, and Menorrhagia is excessive menstrual bleeding. Therefore, 'Amenorrhoea' is the most appropriate term for the described menstrual disorder.
3. This is a way of grouping clients according to their reproductive needs during a counseling session, in order to meet each individual client's specific needs:
- A. Gather method
- B. Profiling
- C. Confidentiality
- D. One-to-one counseling
Correct answer: B
Rationale: Profiling is the correct answer. Profiling involves categorizing clients based on their reproductive needs during counseling to tailor the support to each client's unique requirements. Choice A, 'Gather method,' is not a recognized term in this context. Choice C, 'Confidentiality,' is important but does not relate directly to grouping clients based on reproductive needs. Choice D, 'One-to-one counseling,' refers to individual sessions and does not specifically address the grouping of clients based on their reproductive needs.
4. A woman is considered to be in menopause if she has experienced the cessation of her menses for a period of:
- A. 6 months
- B. 12 months
- C. 18 months
- D. 24 months
Correct answer: B
Rationale: Menopause is defined as the cessation of menses for 12 months. This period is significant because it indicates the end of a woman's reproductive years. Choices A, C, and D are incorrect as they do not align with the established criteria for defining menopause.
5. 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.
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