HESI RN
Reproductive Health Exam
1. To minimize unsafe abortions, IRH has strengthened:
- A. The termination of pregnancy act
- B. The post-abortion care and counseling services
- C. The gender and violence unit of the police services
- D. The empowerment of all women who want to abort
Correct answer: B
Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.
2. What is the primary purpose of using pethidine?
- A. Relieve constriction ring.
- B. Relieve pain.
- C. Affect milk production.
- D. Induce labor.
Correct answer: B
Rationale: Pethidine is primarily used to relieve pain. It is an opioid analgesic commonly used for pain relief in various medical settings. Choices A, C, and D are incorrect as pethidine is not indicated for relieving constriction ring, affecting milk production, or inducing labor.
3. Oligomenorrhea is defined as a cycle longer than:
- A. 28 days
- B. 30 days
- C. 35 days
- D. 40 days
Correct answer: C
Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.
4. At 6-8 weeks of pregnancy, the breast changes include:
- A. Colostrum can be expressed.
- B. Breasts become tender.
- C. Montgomery's tubercles are prominent.
- D. Nipples become prominent and mobile.
Correct answer: C
Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.
5. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?
- A. A carneous mole.
- B. A hydatidiform mole.
- C. A vesicular mole.
- D. A chorionic mole.
Correct answer: A
Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.
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