HESI RN
Reproductive Health Exam
1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
- A. Risk for infection
- B. Pain
- C. Knowledge Deficit
- D. Anticipatory Grieving
Correct answer: D
Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.
2. Which of the following is subsidiary uterine support?
- A. Suspensory ligament
- B. Cardinal ligament
- C. Transcervical ligament
- D. Maklouf ligament
Correct answer: B
Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.
3. How can menopause affect health?
- A. Causing conjunctivitis
- B. Leading to colitis or bowel upsets
- C. Increasing the risk of cancer
- D. Triggering urinary infections
Correct answer: D
Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.
4. How do contraceptive oral pills help in birth control?
- A. Preventing ovulation
- B. Killing ova
- C. Killing sperms
- D. More than one of the above
Correct answer: A
Rationale: Contraceptive oral pills primarily work by preventing ovulation, which means Choice A is correct. Choices B and C are incorrect because oral contraceptive pills do not kill ova or sperms. Choice D is incorrect because only preventing ovulation is the primary mechanism of action for oral contraceptive pills.
5. What does the umbilical cord contain?
- A. Pluripotent stem cells
- B. Cord blood stem cells
- C. Blood stem cells
- D. None of the above
Correct answer: B
Rationale: The correct answer is B: Cord blood stem cells. The umbilical cord contains stem cells that are found in cord blood, known as cord blood stem cells. These stem cells have the potential to develop into various types of cells and are used in medical treatments. Pluripotent stem cells are typically found in embryos and have the ability to develop into any type of cell in the body, not specifically in the umbilical cord. Choice C, blood stem cells, is a vague term that does not specifically refer to the stem cells found in the umbilical cord. Choice D is incorrect as the umbilical cord does contain cord blood stem cells.
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