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. Through which arteries does the blood supply to the external genitalia primarily occur?
- A. Femoral arteries
- B. Inguinal arteries
- C. Pudendal arteries
- D. Internal iliac arteries
Correct answer: C
Rationale: The correct answer is C: Pudendal arteries. The pudendal arteries are responsible for supplying blood to the external genitalia. These arteries specifically provide blood flow to the perineum, including the external genitalia. Choice A, Femoral arteries, are not primarily responsible for supplying blood to the external genitalia. Choice B, Inguinal arteries, do not supply blood directly to the external genitalia. Choice D, Internal iliac arteries, are not the main suppliers of blood to the external genitalia.
3. Treatment for condylomata acuminata includes the following EXCEPT:
- A. Vulvectomy
- B. Podophyllin application
- C. Laser therapy
- D. Electrocautery
Correct answer: A
Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.
4. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
5. At 8-12 weeks of pregnancy, the breast changes include:
- A. Prickling, tingling sensation.
- B. Nipples become prominent and mobile.
- C. Darkening of the nipple.
- D. Breast start producing milk
Correct answer: D
Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.
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