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. Which of the following is a complication of abortions?
- A. Malnutrition
- B. Peritoneum
- C. Fibroids
- D. Septicaemia
Correct answer: D
Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.
3. Which of the following is the most effective method of contraception?
- A. Barrier methods
- B. Hormonal pills
- C. Intrauterine devices (IUDs)
- D. Sterilization
Correct answer: D
Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.
4. Lactational Amenorrhoea Method (LAM) is best for:
- A. Clients who do not wish to have any more children
- B. Clients with a baby less than 6 months postpartum
- C. Clients who want to wait before having a first or another child
- D. Clients with several sexual partners
Correct answer: B
Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.
5. Which of the following are signs and symptoms of vaginitis EXCEPT?
- A. Vaginal itching and irritation
- B. Heavy vaginal bleeding
- C. Pain during coitus
- D. Painful urination
Correct answer: B
Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.
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