HESI RN
Reproductive System Exam Questions
1. Which of the following are outcomes of an ectopic pregnancy EXCEPT?
- A. Tubal abortion
 - B. Tubal rupture
 - C. Intra-tubal bleeding
 - D. Secondary abdominal pregnancy
 
Correct answer: D
Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.
2. Which of the following is NOT a phase of the menstrual cycle?
- A. Follicular phase
 - B. Ovulatory phase
 - C. Luteal phase
 - D. Secretory phase
 
Correct answer: D
Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.
3. The letter 'T' in the Acronym 'GATHER' denotes:
- A. Ask the client about themselves - particular needs, obstetric and medical history
 - B. Tell the client about modern FP methods available, and discuss each in detail
 - C. Help the client choose a method and repeat information regarding the chosen method if necessary
 - D. Explain how to use the method - what, where, when, and how
 
Correct answer: B
Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.
4. 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.
5. In Reproductive Health services, decision-making about RH matters is mostly done by:
- A. The Woman's parents
 - B. The Man's parents
 - C. The Husband
 - D. The Wife
 
Correct answer: C
Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.
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