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. Which hormone is detected in pregnancy tests?

• A. Estrogen
• B. Progesterone
• C. Luteinizing hormone (LH)
• D. Human chorionic gonadotropin (hCG)

Correct answer: D

Rationale: Human chorionic gonadotropin (hCG) is the hormone detected in pregnancy tests. During pregnancy, the placenta produces hCG, which can be detected in the urine or blood to confirm pregnancy. Estrogen and progesterone are also essential hormones in pregnancy but are not typically used for pregnancy tests. Luteinizing hormone (LH) is involved in the menstrual cycle and ovulation, not pregnancy.

3. At 6-8 weeks of pregnancy, the breast changes include:

• A. Colostrum can be expressed.
• B. Breasts become tender.
• C. Montgomery's tubercles are prominent.
• D. Nipples become prominent and mobile.

Correct answer: C

Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.

4. 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.

5. At 8-12 weeks of pregnancy, the breast changes include:

• A. Prickling, tingling sensation.
• B. Nipples become prominent and mobile.
• C. Darkening of the nipple.
• D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

Similar Questions