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. What causes the changes in appearance seen in boys at the time of puberty?
- A. Prolactin
- B. Adrenaline
- C. Estrogen
- D. Testosterone
Correct answer: D
Rationale: During puberty, boys experience physical changes such as growth of facial and body hair, deepening of the voice, and muscle development. These changes are primarily driven by the hormone testosterone. Testosterone is responsible for the development of male secondary sexual characteristics. Therefore, the correct answer is testosterone. Choices A, B, and C are incorrect because prolactin, adrenaline, and estrogen do not play a significant role in the development of male secondary sexual characteristics during puberty.
3. 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.
4. What is Diazepam used for?
- A. Management of post-partum hemorrhage.
- B. Management of pre-eclampsia.
- C. Induction of labor.
- D. Relieving anxiety.
Correct answer: D
Rationale: Diazepam is primarily used for relieving anxiety and muscle spasms. It is a benzodiazepine medication that works by enhancing the effects of a neurotransmitter in the brain to produce a calming effect. While Diazepam is not used for managing post-partum hemorrhage, pre-eclampsia, or inducing labor, it is essential in treating anxiety disorders, muscle spasms, and certain types of seizures. Therefore, option D is the correct answer as it aligns with the primary therapeutic use of Diazepam.
5. What lines the uterus?
- A. Endometrium.
- B. Myometrium.
- C. Perimetrium.
- D. Glandular tissue.
Correct answer: A
Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.
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