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. At what point is a fetus considered viable?
- A. 26 weeks
- B. 28 weeks
- C. 37 weeks
- D. 12 weeks
Correct answer: C
Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.
3. Which one of the following is not a stage in the ovarian cycle of the menstrual cycle?
- A. Recruitment of Graafian follicle
- B. Selection of dominant follicle
- C. Luteal phase
- D. Formation of corpus luteum
Correct answer: A
Rationale: The correct answer is A. The recruitment of the Graafian follicle is indeed a stage in the ovarian cycle. During the ovarian cycle, the primary follicles are recruited to develop further, leading to the formation of the Graafian follicle. The selection of the dominant follicle, luteal phase, and formation of the corpus luteum are other essential stages in the ovarian cycle. Therefore, option A is not correct as it is a crucial phase in the process of ovulation and fertilization.
4. What is included in the Quality of Care in reproductive health?
- A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
- B. Providing reproductive health services only in urban areas.
- C. Ensuring that all women deliver in a hospital setting.
- D. Ensuring that reproductive health services are only provided by doctors.
Correct answer: A
Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.
5. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:
- A. Encourage and assure the client of effective use of the method
- B. Explain how to use the method
- C. Tell the client about modern FP methods available, and discuss each in detail
- D. Explain all possible complications
Correct answer: B
Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.
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