HESI RN
Reproductive System Exam Questions
1. What is the most common cause of abortion in Zambia?
- A. Tuberculosis
- B. HIV
- C. Ascariasis
- D. Malaria
Correct answer: D
Rationale: Malaria is the most common cause of abortion in Zambia due to its significant impact on maternal health. Malaria can lead to severe complications during pregnancy, increasing the risk of spontaneous abortion. Tuberculosis (Choice A), HIV (Choice B), and Ascariasis (Choice C) are serious health conditions, but they are not typically identified as the primary cause of abortion in Zambia as malaria.
2. Which of the following is a contraceptive?
- A. Copper T
- B. Condom
- C. Diaphragm
- D. All of these
Correct answer: D
Rationale: The correct answer is D, All of these. Copper T, Condom, and Diaphragm are all examples of contraceptives used to prevent pregnancy. Copper T is an intrauterine device (IUD) that is placed inside the uterus to prevent pregnancy. Condoms are barrier contraceptives worn over the penis or inserted into the vagina to prevent sperm from reaching the egg. Diaphragms are also barrier contraceptives that cover the cervix to prevent sperm from entering the uterus. Therefore, all options listed (Copper T, Condom, Diaphragm) are indeed contraceptives, making 'All of these' the correct choice.
3. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
- B. Broad ligaments
- C. Cardinal ligaments
- D. Pubocervical ligaments
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
4. Which of the following is the description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age?
- A. Bright red mucosa surrounding the cervical os, in turn surrounded by smooth, pink mucosa
- B. Pink mucosa with multiple small, fluid-filled protrusions
- C. Pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os
- D. Smooth, pink mucosa and a small, fleshy protrusion through the cervical os
Correct answer: C
Rationale: The correct description of a normal cervix on speculum examination in a non-pregnant woman of reproductive age is pink, glistening, smooth mucosa of the exocervix, with a small round or fish-mouthed cervical os. This appearance is characteristic of a healthy cervix. Choice A is incorrect as a bright red mucosa is not normal. Choice B is incorrect as multiple small, fluid-filled protrusions suggest a different condition. Choice D is incorrect as a fleshy protrusion through the cervical os is abnormal.
5. Expanded access to family planning is facilitated by the use of:
- A. The private sector and social marketing
- B. Community-based programs
- C. Information, Education, and Communication
- D. All of the above
Correct answer: D
Rationale: Expanded access to family planning is achieved through various means, including utilizing the private sector, employing social marketing strategies, implementing community-based programs, and emphasizing Information, Education, and Communication initiatives. Each of the options plays a crucial role in enhancing access to family planning services. Therefore, the correct answer is 'All of the above.' Option A focuses on involving the private sector and social marketing, which are essential components. Option B emphasizes community-based programs, which are another key aspect. Option C highlights the significance of Information, Education, and Communication in promoting family planning. As all these strategies are integral to expanding access to family planning, the most comprehensive answer is 'All of the above.'
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