HESI RN
Reproductive Health Exam
1. Which of the following tests is positive in pelvic inflammatory disease?
- A. Cervical excitation test
 - B. Chadwick sign
 - C. Jacquiners sign
 - D. Palmers sign
 
Correct answer: A
Rationale: The correct answer is A: Cervical excitation test. The cervical excitation test is positive in pelvic inflammatory disease. This test involves pain or tenderness upon movement of the cervix, indicating inflammation of the pelvic organs. Chadwick sign (choice B) refers to a bluish discoloration of the cervix, vagina, and labia due to increased vascularity and is not a test for PID. Jacquiners sign (choice C) and Palmers sign (choice D) are not recognized clinical signs or tests for PID, making them incorrect choices.
2. What forms the vaginal lining?
- A. Squamous epithelium
 - B. Stratified epithelium
 - C. Vascular connective tissue
 - D. Muscle coat
 
Correct answer: A
Rationale: The vaginal lining is primarily formed by squamous epithelium. Squamous epithelium is the correct answer because it is the type of epithelium that lines the vaginal canal. Stratified epithelium consists of multiple layers and is not the primary type found in the vaginal lining. Vascular connective tissue and muscle coat are not the main components of the vaginal lining, making them incorrect choices.
3. Expanded access to family planning through non-public delivery systems is facilitated by all of the following EXCEPT:
- A. By using the private sector and social marketing
 - B. Community-based programs
 - C. Information, Education, and Communication
 - D. Key persons in the community
 
Correct answer: D
Rationale: Expanded access to family planning through non-public delivery systems involves utilizing various strategies to reach more people. Options A, B, and C are all effective methods for expanding access to family planning services. The involvement of key persons in the community is not a typical approach for non-public delivery systems. Key persons in the community may have influence but may not be directly involved in the delivery of family planning services, making option D the correct answer.
4. The letter 'T' in the Acronym 'GATHER' denotes:
- A. Ask the client about themselves - particular needs, obstetric and medical history
 - B. Tell the client about modern FP methods available, and discuss each in detail
 - C. Help the client choose a method and repeat information regarding the chosen method if necessary
 - D. Explain how to use the method - what, where, when, and how
 
Correct answer: B
Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.
5. 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.
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