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. 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.

3. Which of the following is included in a pelvic examination?

A. Inspection of internal genitalia
B. Inspection of the cervix and vaginal wall
C. Palpation of the vagina and vaginal cervix by digital examination
D. Rectal examination

Correct answer: B

Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.

4. Which one of the following is not a stage in the ovarian cycle of the menstrual cycle?

A. Recruitment of Graafian follicle
B. Selection of dominant follicle
C. Luteal phase
D. Formation of corpus luteum

Correct answer: A

Rationale: The correct answer is A. The recruitment of the Graafian follicle is indeed a stage in the ovarian cycle. During the ovarian cycle, the primary follicles are recruited to develop further, leading to the formation of the Graafian follicle. The selection of the dominant follicle, luteal phase, and formation of the corpus luteum are other essential stages in the ovarian cycle. Therefore, option A is not correct as it is a crucial phase in the process of ovulation and fertilization.

5. Expanded access to family planning through non-public delivery systems is facilitated by all of the following EXCEPT:

A. By using the private sector and social marketing
B. Community-based programs
C. Information, Education, and Communication
D. Key persons in the community

Correct answer: D

Rationale: Expanded access to family planning through non-public delivery systems involves utilizing various strategies to reach more people. Options A, B, and C are all effective methods for expanding access to family planning services. The involvement of key persons in the community is not a typical approach for non-public delivery systems. Key persons in the community may have influence but may not be directly involved in the delivery of family planning services, making option D the correct answer.