HESI RN
Reproductive Health Exam
1. The GIFT technique is recommended for which of the following females?
- A. Females who cannot produce an ovum
- B. Females who cannot provide a suitable environment for fertilization
- C. Females who cannot retain the embryo inside the uterus
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.
2. What is the primary use of Bromocriptine?
- A. Relieve constriction ring.
- B. Manage post-partum hemorrhage.
- C. Affect milk production.
- D. Be used in pre-eclampsia.
Correct answer: C
Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.
3. When does threatened abortion occur?
- A. The patient experiences slight vaginal bleeding through an undilated cervix.
- B. The patient experiences heavy bleeding and cervical dilation.
- C. The patient experiences severe cramping and heavy bleeding.
- D. The patient experiences painless bleeding and an open cervix.
Correct answer: A
Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).
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. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
- A. Risk for infection
- B. Pain
- C. Knowledge Deficit
- D. Anticipatory Grieving
Correct answer: D
Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.
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