HESI RN
Reproductive Health Exam
1. The Gravindex test is used to detect Human Chorionic Gonadotrophic hormone (HCG) in:
- A. Urine or whole blood
- B. Amniotic fluid
- C. Saliva
- D. Cervical mucus
Correct answer: A
Rationale: The correct answer is A: Urine or whole blood. The Gravindex test is designed to detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood samples. HCG is a hormone produced during pregnancy, and its presence in urine or blood can indicate pregnancy. Choices B, C, and D are incorrect as the Gravindex test is not intended to detect HCG in amniotic fluid, saliva, or cervical mucus. These bodily fluids are not typically used for pregnancy testing purposes.
2. What is the most common cause of abortion in Zambia?
- A. Malaria.
- B. Tuberculosis.
- C. HIV.
- D. Ascariasis.
Correct answer: A
Rationale: The correct answer is A: Malaria. Malaria is a prevalent cause of abortion in Zambia due to its impact on maternal health. Malaria infection during pregnancy can lead to severe complications, including miscarriage. Choices B, C, and D are incorrect because while Tuberculosis, HIV, and Ascariasis are significant health issues, they are not the commonest cause of abortion in Zambia as Malaria.
3. 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.
4. In Reproductive Health services, decision-making about RH matters is mostly done by:
- A. The Woman's parents
- B. The Man's parents
- C. The Husband
- D. The Wife
Correct answer: C
Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.
5. Which statement accurately describes the female pelvis?
- A. Gynaecoid pelvis has a wedge-shaped inlet
- B. Platypelloid pelvis has an oval inlet
- C. Anthropoid pelvis has a long narrow oval inlet
- D. Android pelvis is wedge-shaped
Correct answer: B
Rationale: The correct answer is B because the Platypelloid pelvis indeed has an oval inlet. Gynaecoid pelvis, not mentioned in the choices, has a round inlet. Anthropoid pelvis has a long, narrow oval inlet, which makes choice C incorrect. Choice D is incorrect as the Android pelvis is actually heart-shaped with a narrowed inlet.
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