HESI RN
Reproductive System Exam Questions
1. Which of the following are layers of endometrium in pregnancy EXCEPT?
- A. Decidua compacta
 - B. Decidua spongiosum
 - C. Decidua functionalis
 - D. Decidua basalis
 
Correct answer: C
Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.
2. What is the measurement of the breast areola?
- A. 3.5cm
 - B. 2.5cm
 - C. 4.5cm
 - D. 1.5cm
 
Correct answer: B
Rationale: The correct answer is 2.5 cm. The average measurement of the areola is approximately 2.5 cm. Choices A, C, and D are incorrect as they do not align with the typical measurement of the breast areola.
3. 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.
4. What does Community Participation in reproductive health mean?
- A. Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs.
 - B. Providing health services only to women of reproductive age.
 - C. Providing reproductive health services without community involvement.
 - D. Providing reproductive health services to the entire population without exceptions.
 
Correct answer: A
Rationale: The correct answer is A: Engaging the community in all stages to ensure acceptability, appropriateness, and sustainability of reproductive health programs. Community participation in reproductive health involves involving the community in planning, implementing, and evaluating programs to ensure they meet the needs and are sustainable. Choice B is incorrect because community participation is not limited to only women of reproductive age but involves the entire community. Choice C is incorrect as it emphasizes providing services without community involvement, which goes against the principles of community participation. Choice D is incorrect because community participation focuses on involving the community rather than providing services to the entire population without exceptions.
5. How can menopause affect health?
- A. Causing conjunctivitis
 - B. Leading to colitis or bowel upsets
 - C. Increasing the risk of cancer
 - D. Triggering urinary infections
 
Correct answer: D
Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.
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