HESI RN
Reproductive Health Exam
1. Which of the following investigations is done in Pelvic Inflammatory Disease?
- A. Paracentesis
- B. Culdocentesis
- C. Hysterectomy
- D. Douching
Correct answer: B
Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.
2. What is the most common symptom in all clinical types of abortion EXCEPT:
- A. Lower abdominal pain
- B. Per vaginal bleeding
- C. Show
- D. Backache
Correct answer: C
Rationale: The correct answer is C. 'Show' is not a common symptom in all types of abortion. Lower abdominal pain, per vaginal bleeding, and backache are common symptoms associated with abortion. Lower abdominal pain may result from uterine contractions, per vaginal bleeding is a typical presentation, and backache can be a symptom due to the process of abortion. 'Show' refers to the mucus plug that blocks the cervix during pregnancy and is not a typical symptom of abortion.
3. Complete abortion is characterized by:
- A. Os closed.
- B. Firm contracted uterus.
- C. Heavy bleeding.
- D. Heavy cramping.
Correct answer: A
Rationale: Complete abortion is characterized by a firm contracted uterus with a closed os. This closure of the os indicates that the products of conception have been completely expelled from the uterus. Choices B, C, and D are incorrect because a firm contracted uterus with a closed os is the hallmark sign of a complete abortion, not heavy bleeding, heavy cramping, or any other features.
4. Which animal is an ovoviviparous animal?
- A. Basking shark
- B. Bonobo
- C. Blue shark
- D. None of the above
Correct answer: C
Rationale: The correct answer is the Blue shark. Ovoviviparous animals produce eggs that develop inside the body of the parent, and the offspring are born alive. The basking shark does not fall under this category as it is ovoviviparous, meaning it lays eggs that hatch inside the female's body. The bonobo is a separate species and not relevant to the question.
5. Practices such as female genital mutilation and unsafe male circumcision are categorized as:
- A. Harmful traditional practices
- B. Encouraged in rural Zambia
- C. Recommended in modern surgery and IRH
- D. Safer sex practices
Correct answer: A
Rationale: Practices like female genital mutilation and unsafe male circumcision are considered harmful traditional practices due to the physical and psychological harm they cause. Choice A is correct as these practices are not safe or recommended. Choice B is incorrect, as harmful traditional practices are not encouraged anywhere. Choice C is incorrect as modern surgery and organizations like IRH aim to eliminate such practices, not recommend them. Choice D is incorrect as these practices are not related to safer sex practices but rather harmful practices that need to be eradicated.
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