HESI RN
Reproductive Health Exam
1. Which of the following is NOT a strategy for family planning?
- A. Integrating family planning services with other Reproductive Health programs
- B. Expanding access to family planning through non-public delivery systems
- C. Targeting family planning services to priority groups
- D. Expanding programs of immunization
Correct answer: D
Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.
2. The products of conception are retained in which of the following?
- A. Complete abortions
- B. Incomplete abortions
- C. Threatened abortion
- D. Mixed abortion
Correct answer: B
Rationale: In incomplete abortions, the products of conception are retained. In a complete abortion, all the products of conception are expelled from the uterus. Threatened abortion refers to a situation where there is vaginal bleeding but the cervix remains closed, and it does not necessarily involve retention of products of conception. Mixed abortion is not a recognized medical term related to retained products of conception.
3. Which of the following is included in a pelvic examination?
- A. Inspection of internal genitalia
- B. Inspection of the cervix and vaginal wall
- C. Palpation of the vagina and vaginal cervix by digital examination
- D. Rectal examination
Correct answer: B
Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.
4. Which of the following data should not be included in the identification data of gynecological history?
- A. Parity
- B. Lost normal menstrual period
- C. EDD (Expected date of delivery)
- D. Last delivery
Correct answer: C
Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.
5. The _________ is a temporary organ that connects a mammalian mother to its foetus.
- A. Placenta
- B. Chorion
- C. Endometrium
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: Placenta. The placenta is a temporary organ that connects a mammalian mother to its foetus. It plays a crucial role in facilitating the exchange of nutrients, oxygen, and waste between the mother and the developing baby. Choice B, Chorion, is incorrect as it is a part of the fetal membrane but not the organ that connects the mother to the fetus. Choice C, Endometrium, is incorrect as it is the lining of the uterus where implantation occurs but is not the organ responsible for connecting the mother to the fetus. Choice D, None of the above, is incorrect as the placenta specifically fits the description provided in the question.
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