HESI RN
Reproductive Health Exam
1. Which component of reproductive health ensures the provision of quality reproductive health services at all levels of the health care system?
- A. Safe motherhood
 - B. Adolescent health and development
 - C. Health service delivery
 - D. Reproductive health information
 
Correct answer: C
Rationale: Health service delivery is the component of reproductive health that specifically focuses on ensuring the provision of quality reproductive health services at all levels of the healthcare system. While safe motherhood and adolescent health are important aspects of reproductive health, they do not directly address the quality of health services delivery. Reproductive health information, although crucial, is not the component responsible for ensuring the quality of services provided.
2. What is Dinoprostone commonly used for?
- A. Cervical priming.
 - B. Pain management during labor.
 - C. Management of pre-term labor.
 - D. Management of post-partum hemorrhage.
 
Correct answer: C
Rationale: Dinoprostone is commonly used for the management of pre-term labor. While it can be used for cervical priming, its primary indication is for pre-term labor. Choice A is partially correct but not the most common use of Dinoprostone. Choices B and D are incorrect as Dinoprostone is not primarily used for pain management during labor or for the management of post-partum hemorrhage.
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. What is a cord inserted to the very edge of the placenta known as?
- A. Battledore insertion
 - B. Placenta velamentosa
 - C. Placenta accreta
 - D. Vasa Praevia
 
Correct answer: A
Rationale: A cord inserted to the very edge of the placenta is known as battledore insertion. This occurs when the cord is attached to the fetal membranes at the placental margin rather than directly to the placental tissue. Placenta velamentosa refers to the condition where the umbilical cord inserts into the fetal membranes before it reaches the placenta. Placenta accreta is a condition where the placenta attaches too deeply into the uterine wall. Vasa Praevia is a condition where fetal blood vessels run across or near the internal cervical opening.
5. How many arteries are there in an umbilical cord?
- A. Three
 - B. One
 - C. Two
 - D. Four
 
Correct answer: C
Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.
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