lactational amenorrhoea method lam is best for
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Nursing Elites

HESI RN

Reproductive Health Exam

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

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. Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system

Correct answer: A

Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.

3. Which of the following is a common presentation in women with polycystic ovarian syndrome?

Correct answer: A

Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.

4. Which hormone is detected in pregnancy tests?

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.

5. What structure lies posterior to the vagina?

Correct answer: B

Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.

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