HESI RN
Reproductive Health Exam
1. What is the most common site for an ectopic pregnancy?
- A. Isthmus
- B. Ampulla
- C. Interstitial
- D. Infundibulum
Correct answer: C
Rationale: The correct answer is C, Interstitial. An ectopic pregnancy most commonly occurs in the interstitial portion of the fallopian tube. This is because the interstitial part is narrow and not suitable for the growing embryo, leading to implantation outside the uterus. Choices A, B, and D are incorrect because although ectopic pregnancies can occur in various locations, the interstitial portion of the fallopian tube is the most frequent site for such pregnancies.
2. Which policy was formally launched to target reducing population growth, making family planning services available, accessible, and affordable to all eligible users?
- A. The reproductive health policy
- B. The ministry of health policy
- C. Gender and health policy
- D. The national population policy
Correct answer: D
Rationale: The correct answer is D, the national population policy. This policy was specifically launched to address population growth by providing access to family planning services. Choices A, B, and C are incorrect because they do not directly focus on population control and family planning services, which are the primary objectives of the national population policy.
3. Polymenorrhoea is defined as:
- A. Menstruation that occurs at an interval less than 35 days
- B. Menstruation that occurs at an interval greater than 35 days
- C. Menstruation that occurs at an interval less than 21 days
- D. Menstruation that occurs at an interval greater than 21 days
Correct answer: C
Rationale: Polymenorrhoea is defined as menstruation that occurs at intervals shorter than 21 days. Choice A is incorrect because it describes menstruation at intervals less than 35 days. Choice B is incorrect as it describes menstruation at intervals greater than 35 days. Choice D is incorrect as it describes menstruation at intervals greater than 21 days.
4. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:
- A. 0.1-0.5
- B. 0.2-0.5
- C. 1.0-2.0
- D. 1.5-2.0
Correct answer: B
Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.
5. 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.
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