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 type of epithelium lines the vagina?
- A. Ciliated epithelium.
- B. Squamous epithelium.
- C. Columnar epithelium.
- D. Transitional epithelium.
Correct answer: B
Rationale: The correct answer is B: Squamous epithelium. The vagina is lined with non-keratinized stratified squamous epithelium. This type of epithelium provides protection against abrasion and pathogens. Choice A, Ciliated epithelium, is incorrect as ciliated epithelium is found in areas like the fallopian tubes to help move the egg towards the uterus. Choice C, Columnar epithelium, is incorrect as columnar epithelium is typically found in areas like the intestines. Choice D, Transitional epithelium, is incorrect as this type of epithelium is found in areas like the urinary bladder.
3. At what point is a fetus considered viable?
- A. 26 weeks
- B. 28 weeks
- C. 37 weeks
- D. 12 weeks
Correct answer: C
Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.
4. Outlet of the true pelvis anteriorly bounded by:
- A. Ischiopubic arch (T)
- B. Linea terminalis (F)
- C. Coccyx (T)
- D. Promontory of the sacrum (F)
Correct answer: A
Rationale: The correct answer is A: Ischiopubic arch. The outlet of the true pelvis is indeed anteriorly bounded by the ischiopubic arch, which consists of the ischium and the pubic bones. This structure forms the lower boundary of the pelvic outlet. The other choices, B, C, and D, are incorrect. The linea terminalis (pelvic brim) forms the upper boundary of the true pelvis, the coccyx is part of the bony pelvis but does not bound the pelvic outlet anteriorly, and the promontory of the sacrum is located in the posterior part of the pelvis, not the anterior boundary of the pelvic outlet.
5. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:
- A. The posterior vaginal wall
- B. The anterior vaginal wall
- C. The abdominal wall
- D. The rectal wall
Correct answer: A
Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.
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