which of the following is a common presentation in women with polycystic ovarian syndrome

HESI RN

Reproductive Health Exam

1. Which of the following is a common presentation in women with polycystic ovarian syndrome?

A. Oligomenorrhea, obesity, and hirsutism
B. Amenorrhea, generalized hair loss, and weight gain
C. Repeated ectopic pregnancies and chronic pelvic pain
D. Fatigue, body aches, and menorrhagia

Correct answer: A

Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.

2. 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.

3. What is the role of the corpus luteum during the menstrual cycle?

A. The corpus luteum produces estrogen to maintain the endometrium.
B. The corpus luteum produces progesterone to maintain the endometrium.
C. The corpus luteum produces testosterone to inhibit ovulation.
D. The corpus luteum has no significant role during the menstrual cycle.

Correct answer: B

Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.

4. 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.

5. The following are delays associated with maternal mortality EXCEPT:

A. Delay in recognizing danger signs
B. Delay in arrival at a health facility
C. Delay in initiating treatment
D. Excessive blood loss

Correct answer: D

Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.