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. At 3-4 weeks of pregnancy, the breast changes include:
- A. Darkening of the nipple.
- B. Prickling, tingling sensation.
- C. Breast becomes tender.
- D. Colostrum can be expressed.
Correct answer: C
Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.
3. What does reproductive health refer to?
- A. Healthy baby
- B. Frequent coitus
- C. Healthy reproductive organs and functions
- D. Longer lifetime
Correct answer: C
Rationale: Reproductive health refers to the overall well-being of the reproductive system, including both the organs and their functions. It encompasses the ability to have a satisfying and safe sex life, the capability to reproduce, and the absence of reproductive problems. Choice A is incorrect because reproductive health is not solely about having a healthy baby but also includes the health of the individual. Choice B is incorrect as it focuses only on sexual activity frequency rather than the holistic well-being of the reproductive system. Choice D is incorrect because a longer lifetime does not specifically relate to reproductive health.
4. At 16 weeks of pregnancy, the breast changes include:
- A. Montgomery's tubercles are prominent.
- B. Darkening of the nipple.
- C. Prickling, tingling sensation.
- D. Colostrum can be expressed.
Correct answer: C
Rationale: At 16 weeks of pregnancy, the sensation of prickling and tingling in the breasts is common due to hormonal changes. Montgomery's tubercles becoming prominent is more characteristic of early pregnancy, typically around the first trimester. Darkening of the nipple, known as areola darkening, can occur but is more commonly observed later in pregnancy. The expression of colostrum, the first milk produced by the mammary glands, usually happens closer to the end of pregnancy or after childbirth, not typically at 16 weeks.
5. 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.
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