HESI RN
Reproductive System Exam Questions
1. 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.
2. When does a broad ligament haematoma occur?
- A. Rupture occurs in the mesenteric border of the tube.
 - B. Rupture occurs in the ovarian ligament.
 - C. Rupture occurs in the broad ligament.
 - D. Rupture occurs in the uterine wall.
 
Correct answer: A
Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.
3. Which of the following is not a complication of menopause?
- A. Fractures
 - B. Alzheimer's disease
 - C. Congestive heart failure
 - D. Painful intercourse
 
Correct answer: C
Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.
4. At 6-8 weeks of pregnancy, the breast changes include:
- A. Colostrum can be expressed.
 - B. Breasts become tender.
 - C. Montgomery's tubercles are prominent.
 - D. Nipples become prominent and mobile.
 
Correct answer: C
Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.
5. The weight of the non-pregnant uterus is approximately ___________grams.
- A. 57
 - B. 80
 - C. 66
 - D. 71
 
Correct answer: B
Rationale: The correct answer is B: 80. The non-pregnant uterus typically weighs around 80 grams. This weight may vary slightly among individuals, but 80 grams is a commonly accepted average. Choices A, C, and D are incorrect as they do not reflect the typical weight of the non-pregnant uterus. It is important to remember this approximate weight for medical reference and understanding of normal anatomical variations.
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