HESI RN
Reproductive Health Exam
1. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
2. Why is abortion important?
- A. It is easily conducted
- B. It can easily be diagnosed
- C. It causes serious complications such as infections and maternal death
- D. All of the above
Correct answer: C
Rationale: Abortion is important due to the serious complications it can cause, such as infections and maternal death. Choices A and B are incorrect because ease of conducting or diagnosing abortion procedures does not inherently make abortion important. Choice D is incorrect because not all the options listed are reasons why abortion is important; only choice C highlights the critical aspect of potential complications.
3. What does confidentiality in reproductive health services mean?
- A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
- B. Sharing patient information with all healthcare staff.
- C. Sharing patient information with their family members.
- D. Allowing patient information to be discussed in public areas.
Correct answer: A
Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.
4. What is the most common cause of abortion in Zambia?
- A. Malaria.
- B. Tuberculosis.
- C. HIV.
- D. Ascariasis.
Correct answer: A
Rationale: The correct answer is A: Malaria. Malaria is a prevalent cause of abortion in Zambia due to its impact on maternal health. Malaria infection during pregnancy can lead to severe complications, including miscarriage. Choices B, C, and D are incorrect because while Tuberculosis, HIV, and Ascariasis are significant health issues, they are not the commonest cause of abortion in Zambia as Malaria.
5. 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.
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