lactational amenorrhoea method lam is best for

HESI RN

Reproductive Health Exam

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 the purpose of Hysterosalpingo-contrast Sonography?

A. Check a woman's tubes and is done with an X-ray and dye test called a hysterosalpingogram
B. Detect Human Chorionic Gonadotrophic hormone (HCG) in urine or whole blood.
C. Diagnose ovarian cancer using MRI technology.
D. Detect cancer cells in the cervix.

Correct answer: A

Rationale: Hysterosalpingo-contrast Sonography is a test used to check a woman's fallopian tubes with an X-ray and dye test called a hysterosalpingogram. This test is specifically designed to evaluate the patency of the fallopian tubes and the uterine cavity. Choices B, C, and D are incorrect as they do not align with the purpose of Hysterosalpingo-contrast Sonography.

3. At what age are women likely to enter menopause?

A. 35 - 40 years
B. 40 - 45 years
C. 45 - 50 years
D. 25 - 30 years

Correct answer: C

Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.

4. Which of the following hormones promotes endometrial growth?

A. LH
B. FSH
C. Estrogen
D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.

5. 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.