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 is Diazepam used for?

• A. Management of post-partum hemorrhage.
• B. Management of pre-eclampsia.
• C. Induction of labor.
• D. Relieving anxiety.

Correct answer: D

Rationale: Diazepam is primarily used for relieving anxiety and muscle spasms. It is a benzodiazepine medication that works by enhancing the effects of a neurotransmitter in the brain to produce a calming effect. While Diazepam is not used for managing post-partum hemorrhage, pre-eclampsia, or inducing labor, it is essential in treating anxiety disorders, muscle spasms, and certain types of seizures. Therefore, option D is the correct answer as it aligns with the primary therapeutic use of Diazepam.

3. The endometrium is shed up to the basal layer during this phase of the menstrual cycle:

• A. Ovulation
• B. Regenerative
• C. Secretory
• D. Menstruation

Correct answer: D

Rationale: The correct answer is D. During the menstrual phase of the menstrual cycle, the endometrium is shed up to the basal layer. This shedding occurs as a result of decreased levels of estrogen and progesterone, leading to the breakdown and subsequent shedding of the endometrial lining. Choice A, ovulation, is incorrect as ovulation is the release of an egg from the ovary, which occurs during the mid-cycle. Choice B, regenerative, is incorrect as it does not specifically refer to the phase where the shedding of the endometrium occurs. Choice C, secretory, is incorrect as it refers to the phase where the endometrium thickens in preparation for possible implantation of a fertilized egg, not shedding.

4. What is included in the Quality of Care in reproductive health?

• A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
• B. Providing reproductive health services only in urban areas.
• C. Ensuring that all women deliver in a hospital setting.
• D. Ensuring that reproductive health services are only provided by doctors.

Correct answer: A

Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.

5. 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.

Similar Questions