HESI RN
Reproductive System Exam Questions
1. Which of the following hormone ratios is MOST likely to be increased in a patient with PCOS?
- A. Progesterone/estrogen
- B. LH/FSH
- C. FSH/LH
- D. Glucagon/insulin
Correct answer: B
Rationale: In patients with Polycystic Ovary Syndrome (PCOS), the LH/FSH ratio is most likely to be increased. This hormonal imbalance is a key characteristic of PCOS, where elevated LH levels relative to FSH contribute to the pathophysiology of the condition. Choice A, progesterone/estrogen ratio, is not typically a defining feature of PCOS. Choice C, FSH/LH ratio, is the reverse of what is commonly observed in PCOS. Choice D, glucagon/insulin ratio, is not directly related to the hormonal imbalances seen in PCOS.
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. Legislation allowing nursing staff to provide contraceptives has resulted in all of the following EXCEPT:
- A. More nursing staff have been trained to provide family planning services
- B. Many population and family planning organizations have emerged
- C. Enhanced implementation of population and family planning programs
- D. Male involvement in family planning services
Correct answer: D
Rationale: The correct answer is D. Male involvement in family planning services has not significantly resulted from legislation allowing nursing staff to provide contraceptives. While legislation has led to more nursing staff being trained, the emergence of population and family planning organizations, and enhanced implementation of programs, it has not directly impacted male involvement in family planning.
4. Which technique is used to detect HIV/AIDS?
- A. Northern blot and ELISA
- B. Immunoblot and ELISA
- C. Western blot and ELISA
- D. Southern blot and ELISA
Correct answer: C
Rationale: The correct answer is C: Western blot and ELISA. Western blot and ELISA are commonly used techniques in the detection of HIV/AIDS. Western blot is used to confirm the presence of HIV antibodies in a patient's blood after an initial positive ELISA test. Northern blotting is a technique used for RNA analysis, not for detecting HIV/AIDS (Choice A). Immunoblotting is another term for Western blotting, so Choice B is incorrect. Southern blotting is used for DNA analysis, not for detecting HIV/AIDS (Choice D).
5. What is one goal of family planning?
- A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
- B. Limiting couples and individuals to one or two children
- C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
- D. Providing a permanent method of family planning after having three children
Correct answer: A
Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.
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