HESI RN
Reproductive System Exam Questions
1. Which space is present between the bladder and the uterus?
- A. Vesico-uterine pouch
 - B. Pubovesical pouch
 - C. Retro-uterine pouch
 - D. Recto-uterine pouch
 
Correct answer: A
Rationale: The correct answer is the vesico-uterine pouch. This space is specifically located between the bladder and the uterus. The pubovesical pouch is incorrect as it refers to the space between the pubic bone and the bladder. The retro-uterine pouch, also known as the pouch of Douglas, is located between the uterus and rectum. The recto-uterine pouch is not a recognized anatomical term, making it an incorrect choice.
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. The following are delays associated with maternal mortality EXCEPT:
- A. Delay in recognizing danger signs
 - B. Delay in arrival at a health facility
 - C. Delay in initiating treatment
 - D. Excessive blood loss
 
Correct answer: D
Rationale: The correct answer is D. Excessive blood loss is not a delay associated with maternal mortality but rather a direct complication. Delays in recognizing danger signs, arriving at a health facility, and initiating treatment are factors that can contribute to maternal mortality by impeding timely access to necessary care.
4. A solid ball of 12-16 cells having undergone mitotic division after fertilization is:
- A. Zygote
 - B. Blastomere
 - C. Morula
 - D. Blastocyst
 
Correct answer: C
Rationale: A morula is a stage in embryonic development where a solid ball of 12-16 cells is formed after several rounds of mitotic division following fertilization. The zygote is the initial cell formed by the fusion of sperm and egg. Blastomere refers to individual cells in a developing embryo. A blastocyst is a later stage where a fluid-filled cavity forms within the embryo. Therefore, the correct answer is 'Morula.'
5. Which of the following is not a characteristic of an ideal contraceptive?
- A. Irreversible
 - B. Easily available
 - C. User-friendly
 - D. Effective with least side effects
 
Correct answer: A
Rationale: The correct answer is A: 'Irreversible.' An ideal contraceptive should not be irreversible because it should allow individuals to have the option to discontinue its use if desired. Choices B, C, and D are characteristics of an ideal contraceptive. Contraceptives should be easily available to ensure widespread accessibility, user-friendly to promote proper and consistent use, and effective with minimal side effects to maximize safety and tolerability.
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