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 lines the uterus?

• A. Endometrium.
• B. Myometrium.
• C. Perimetrium.
• D. Glandular tissue.

Correct answer: A

Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.

3. The follicular phase is to the __________ as the luteal phase is to the secretory phase.

• A. Postovulatory
• B. Menstrual
• C. Proliferative
• D. Ovulatory

Correct answer: C

Rationale: The correct answer is C: Proliferative. The follicular phase corresponds to the proliferative phase during the menstrual cycle, characterized by the development of ovarian follicles. The luteal phase, on the other hand, corresponds to the secretory phase when the endometrium prepares for implantation. Choices A, B, and D are incorrect because they do not accurately reflect the phases being compared in the question.

4. The menstrual disorder in which there is an absence or suppression of the normal menstrual period is called:

• A. Dysmenorrhoea
• B. Polymenorrhoea
• C. Menorrhagia
• D. Amenorrhoea

Correct answer: D

Rationale: Amenorrhoea is the correct term for the absence or suppression of the menstrual period. Dysmenorrhoea refers to painful menstruation, Polymenorrhoea is characterized by frequent, short menstrual cycles, and Menorrhagia is excessive menstrual bleeding. Therefore, 'Amenorrhoea' is the most appropriate term for the described menstrual disorder.

5. _______ is a lytic enzyme released by the sperm.

• A. Hyaluronidase
• B. Trypsin
• C. Helicase
• D. None of the above

Correct answer: A

Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.

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