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. Where does fertilization normally occur?
- A. Ampulla
- B. Interstitial portion
- C. Isthmus
- D. Infundibulum
Correct answer: A
Rationale: Fertilization typically occurs in the ampulla of the fallopian tube. The ampulla provides the ideal environment for fertilization due to the presence of cilia that help transport the egg and sperm, as well as the nourishing fluid within this region. The interstitial portion, isthmus, and infundibulum of the fallopian tube are not the primary sites for fertilization. The interstitial portion connects the fallopian tube to the uterine cavity, the isthmus is the narrowest part near the uterus, and the infundibulum is the funnel-shaped end near the ovary, where the egg is captured after ovulation.
3. At what age are women likely to enter menopause?
- A. 35 - 40 years
- B. 40 - 45 years
- C. 45 - 50 years
- D. 25 - 30 years
Correct answer: C
Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.
4. What are the Carunculae Myrtiformes?
- A. Tissues between the vagina and the perineum
- B. A component of the clitoral prepuce
- C. The remnants of the torn hymen
- D. Structures that partially close the vaginal introitus
Correct answer: C
Rationale: The Carunculae Myrtiformes are the remnants of the torn hymen. They are not tissues between the vagina and the perineum (Choice A), a part of the clitoral prepuce (Choice B), or structures that partially close the vaginal introitus (Choice D). Understanding the anatomy of the female reproductive system is crucial for healthcare professionals to provide accurate care and information.
5. What is the purpose of hysteroscopy?
- A. View the uterine cavity
- B. Perform a D&C procedure
- C. Remove the fetus
- D. Visualize the fallopian tubes
Correct answer: A
Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.
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