Nursing Elites

1. Lactational Amenorrhoea Method (LAM) is best for:

• A. Clients who do not wish to have any more children
• B. Clients with a baby less than 6 months postpartum
• C. Clients who want to wait before having a first or another child
• D. Clients with several sexual partners

Correct answer: B

Rationale: The correct answer is B: Clients with a baby less than 6 months postpartum. Lactational Amenorrhoea Method (LAM) is a highly effective temporary family planning method that is recommended for women who have recently given birth and are breastfeeding. LAM works best when the baby is less than 6 months old, the mother is exclusively breastfeeding, and her menstrual periods have not resumed. Choices A, C, and D are incorrect because LAM is specifically designed for postpartum women with infants less than 6 months old, focusing on the lactational infertility that occurs during exclusive breastfeeding.

2. What does Integrated Reproductive Health entail?

• A. Women of childbearing age
• B. Women and under-five children only
• C. Men, women, adolescents, youth, and children
• D. Pregnant women only

Correct answer: C

Rationale: Integrated Reproductive Health involves providing services that cater to a wide range of demographics, including men, women, adolescents, youth, and children. This comprehensive approach ensures that reproductive health needs are addressed across different age groups and genders. Choices A, B, and D are too restrictive and do not encompass the full scope of Integrated Reproductive Health services.

3. Legislation allowing nursing staff to provide contraceptives has resulted in all of the following EXCEPT:

• A. More nursing staff have been trained to provide family planning services
• B. Many population and family planning organizations have emerged
• C. Enhanced implementation of population and family planning programs
• D. Male involvement in family planning services

Correct answer: D

Rationale: The correct answer is D. Male involvement in family planning services has not significantly resulted from legislation allowing nursing staff to provide contraceptives. While legislation has led to more nursing staff being trained, the emergence of population and family planning organizations, and enhanced implementation of programs, it has not directly impacted male involvement in family planning.

4. In order to provide services effectively and in the best interests of the whole family:

• A. The wife's relatives need to be contacted
• B. It's important to seek the services of a traditional healer
• C. Health providers need to be aware of the roles and decision-making process within the family
• D. Health providers need to conduct door-to-door sensitization on health matters

Correct answer: C

Rationale: The correct answer is C: 'Health providers need to be aware of the roles and decision-making process within the family.' To provide services effectively, health providers must understand the dynamics within a family, including who makes decisions and how roles are distributed. This knowledge helps them tailor their services to meet the needs and preferences of the whole family. Choices A and B are incorrect because contacting the wife's relatives or seeking the services of a traditional healer may not necessarily align with providing effective services based on family dynamics. Choice D is also incorrect as door-to-door sensitization may not directly address the internal dynamics of a family.

5. What is the typical measurement of the anterior wall of the vaginal canal?

• A. 10 cm
• B. 11 cm
• C. 11.5 cm
• D. 7.5 cm

Correct answer: D

Rationale: The typical measurement of the anterior wall of the vaginal canal is 7.5 cm. This measurement is anatomically accurate, making choice D the correct answer. Choices A, B, and C provide measurements that are larger than the typical measurement of the anterior wall of the vaginal canal and are therefore incorrect.

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