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. Which of the following is a function of the placenta?
- A. The placenta secretes insulin.
- B. The placenta facilitates the exchange of gases and nutrients between mother and fetus.
- C. The placenta provides immunological protection to the fetus.
- D. The placenta stores fat-soluble vitamins for the fetus.
Correct answer: B
Rationale: The correct answer is B. The placenta serves as a crucial organ during pregnancy, facilitating the exchange of gases (oxygen and carbon dioxide) and nutrients (such as glucose and amino acids) between the mother and the developing fetus. This exchange is vital for the fetus's growth and development. Choices A, C, and D are incorrect. The placenta does not secrete insulin; insulin is produced by the pancreas. While the placenta provides some immune support to the fetus, its main role is not immunological protection. Additionally, storing fat-soluble vitamins is not a primary function of the placenta.
3. At 3-4 weeks of pregnancy, the breast changes include:
- A. Darkening of the nipple.
- B. Prickling, tingling sensation.
- C. Breast becomes tender.
- D. Colostrum can be expressed.
Correct answer: C
Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.
4. Which female reproductive organ is positioned directly posterior to the bladder?
- A. Uterine tube
- B. Vagina
- C. Uterus
- D. Ovaries
Correct answer: C
Rationale: The correct answer is the uterus. The uterus is positioned directly posterior to the bladder in the female reproductive system. The uterine tube (choice A) is also known as the fallopian tube, which is not positioned directly posterior to the bladder. The vagina (choice B) is located below the uterus and not directly posterior to the bladder. The ovaries (choice D) are located on either side of the uterus, but they are not positioned directly posterior to the bladder.
5. 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.
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