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. What is the most common symptom in all clinical types of abortion EXCEPT:
- A. Lower abdominal pain
- B. Per vaginal bleeding
- C. Show
- D. Backache
Correct answer: C
Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.
3. What is the definition of incomplete abortion?
- A. Part of the products of conception, especially the fetus, is expelled while the placenta and membranes are retained.
- B. All products of conception are expelled, and there is minimal per vaginal bleeding.
- C. The cervix is closed, and the products of conception remain in the uterus.
- D. The cervix dilates, and the products of conception are expelled.
Correct answer: A
Rationale: Incomplete abortion is defined as part of the products of conception, especially the fetus, being expelled while the placenta and membranes are retained. This is the correct definition, making option A the right choice. Option B is incorrect as it describes a complete abortion. Option C is incorrect because in incomplete abortion, the products of conception are not retained in the uterus, and the cervix may be open. Option D is incorrect as it describes a situation more likely to be seen in an inevitable abortion.
4. Discuss the anatomical/physiological changes in pregnancy under the following: Haematological system
- A. Blood volume and plasma volume increase, red blood cells increase, erythropoietin levels decrease, and leukocyte count increases.
- B. Blood volume and plasma volume decrease, and red blood cells decrease.
- C. No changes occur in the haematological system during pregnancy.
- D. Platelet count remains constant, and no change in coagulation factors.
Correct answer: A
Rationale: During pregnancy, the haematological system undergoes changes to support the growing fetus. Blood volume and plasma volume increase to accommodate the needs of the developing baby. Red blood cells increase to support the increased oxygen demand. Contrary to the statement, erythropoietin levels actually increase to stimulate red blood cell production. Additionally, leukocyte count increases to help the mother's immune system cope with the changes during pregnancy. Choice B is incorrect as it describes a decrease in blood components, which is not the case in pregnancy. Choice C is incorrect as there are significant changes in the haematological system during pregnancy. Choice D is incorrect as platelet count can fluctuate during pregnancy, and there are changes in coagulation factors to prevent excessive bleeding.
5. Herpes simplex type 2 (HSV-2) does not cause cold sores of the lips:
- A. True.
- B. False.
- C. Depends on the person.
- D. Not enough information.
Correct answer: B
Rationale: Herpes simplex type 2 (HSV-2) typically causes genital herpes, not cold sores on the lips. Cold sores on the lips are commonly caused by herpes simplex type 1 (HSV-1). Therefore, the statement that HSV-2 causes cold sores of the lips is incorrect. Choice B, 'False,' is the correct answer. Choice A is incorrect because HSV-2 does not cause cold sores on the lips. Choice C, 'Depends on the person,' is incorrect as the cause of cold sores is predominantly linked to HSV-1. Choice D, 'Not enough information,' is also incorrect as this information is well-established in medical knowledge.
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