HESI RN
Reproductive Health Exam
1. Which part of the female reproductive system remains blocked after tubectomy?
- A. Fallopian tube
- B. Cervix
- C. Uterine cavity
- D. None
Correct answer: A
Rationale: After a tubectomy procedure, the Fallopian tube remains blocked. This is the correct answer because tubectomy involves the surgical blocking or sealing of the Fallopian tubes to prevent eggs from reaching the uterus, thus preventing pregnancy. Choice B, the cervix, is incorrect as it is not blocked during a tubectomy. Choice C, the uterine cavity, is also incorrect as the procedure does not involve blocking this part of the reproductive system. Choice D, none, is incorrect as the purpose of tubectomy is to block the Fallopian tubes.
2. Which of the following are layers of the anterior abdominal wall?
- A. Linear albicantes
- B. Superficial fascia
- C. Visceral peritoneum
- D. Fascia transversalis
Correct answer: A
Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.
3. To minimize unsafe abortions, IRH has strengthened:
- A. The termination of pregnancy act
- B. The post-abortion care and counseling services
- C. The gender and violence unit of the police services
- D. The empowerment of all women who want to abort
Correct answer: B
Rationale: Post-abortion care and counseling services are crucial in reducing unsafe abortions by providing support, medical care, and guidance to individuals who have undergone abortions, ensuring their physical and emotional well-being. Strengthening the termination of pregnancy act (Choice A) might focus more on the legal aspects rather than the healthcare services needed post-abortion. The gender and violence unit of the police services (Choice C) is important for addressing gender-based violence but not directly related to reducing unsafe abortions. Empowering all women who want to abort (Choice D) is a broad concept that may not specifically address the need for comprehensive post-abortion care and counseling services.
4. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:
- A. Oligomenorrhea
- B. Menorrhagia
- C. Metrorrhagia
- D. Polymenorrhea
Correct answer: A
Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.
5. Appropriate Technologies and Skills involve:
- A. Selecting technologies according to universal standards.
- B. Ensuring a doctor is present at the service-providing facility.
- C. Requiring that health care providers are nurses.
- D. Selecting technologies that are easy to use but not necessarily effective.
Correct answer: A
Rationale: The correct answer is A: 'Selecting technologies according to universal standards.' Appropriate technologies and skills involve choosing tools and methods based on universal standards to ensure effectiveness and efficiency. Choice B is incorrect because the presence of a doctor is not necessarily a defining factor for appropriate technologies and skills. Choice C is incorrect as appropriate technologies are not limited to being utilized only by nurses. Choice D is incorrect as the focus should be on selecting technologies that are both easy to use and effective, not one or the other.
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