HESI RN
Reproductive Health Exam Questions And Answers
1. In which part of the fallopian tube is tubal abortion most common?
- A. Ampullary portion
- B. Isthmus
- C. Interstitial portion
- D. Infundibulum
Correct answer: C
Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.
2. Which one is not a barrier method for birth control?
- A. Diaphragms
- B. Cervical caps
- C. Vaults
- D. Intrauterine Devices (IUDs)
Correct answer: D
Rationale: The correct answer is D, Intrauterine Devices (IUDs). Barrier methods of birth control physically block sperm from reaching the egg. Diaphragms, cervical caps, and vaults are examples of barrier methods as they create a barrier that prevents sperm from reaching the cervix. In contrast, IUDs work by altering the cervical mucus and uterine lining, making it difficult for sperm to reach the egg, but they do not physically block sperm like barrier methods do.
3. How can the need to respect clients' rights to informed consent be attained in quality of care?
- A. by providing adequate information and counseling
- B. by forcing all patients scheduled for surgery to sign the consent form
- C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
- D. by simply telling the patient to sign the consent form
Correct answer: A
Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.
4. What is the inner lining of the non-pregnant uterus called?
- A. Decidua
- B. Myometrium
- C. Endometrium
- D. Sponge layer
Correct answer: C
Rationale: The correct answer is C, Endometrium. The endometrium is the inner lining of the non-pregnant uterus that undergoes cyclic changes in response to hormonal fluctuations during the menstrual cycle. Choice A, Decidua, is the specialized membrane formed during pregnancy. Choice B, Myometrium, refers to the middle layer of the uterine wall composed of smooth muscle. Choice D, Sponge layer, is not a term used to describe the inner lining of the uterus.
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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