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 is the role of relaxin hormone?

• A. Relaxation of the symphysis pubis.
• B. Stimulation of milk production.
• C. Stimulating the development of the nipple and duct system in the breast.
• D. None of the above.

Correct answer: A

Rationale: The correct answer is A: Relaxation of the symphysis pubis. Relaxin hormone is responsible for loosening the ligaments in the pelvic area, particularly the symphysis pubis, to prepare for childbirth. Choice B, stimulation of milk production, is incorrect as this is primarily regulated by prolactin. Choice C, stimulating the development of the nipple and duct system in the breast, is incorrect as this is mainly influenced by estrogen and progesterone during pregnancy. Therefore, the correct role of relaxin hormone is the relaxation of the symphysis pubis.

3. Which of the following is a complication of abortions?

• A. Malnutrition
• B. Peritoneum
• C. Fibroids
• D. Septicaemia

Correct answer: D

Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.

4. Which of the following are layers of endometrium in pregnancy EXCEPT?

• A. Decidua compacta
• B. Decidua spongiosum
• C. Decidua functionalis
• D. Decidua basalis

Correct answer: C

Rationale: During pregnancy, the layers of endometrium include decidua compacta, decidua spongiosum, and decidua basalis. Decidua functionalis is the layer that sheds during menstruation and regenerates each cycle, not a layer of the endometrium during pregnancy. Therefore, choice C is the correct answer. Decidua compacta is the layer closest to the conceptus, decidua spongiosum is the middle layer, and decidua basalis is the layer adjacent to the myometrium.

5. A solid ball of 12-16 cells having undergone mitotic division after fertilization is:

• A. Zygote
• B. Blastomere
• C. Morula
• D. Blastocyst

Correct answer: C

Rationale: A morula is a stage in embryonic development where a solid ball of 12-16 cells is formed after several rounds of mitotic division following fertilization. The zygote is the initial cell formed by the fusion of sperm and egg. Blastomere refers to individual cells in a developing embryo. A blastocyst is a later stage where a fluid-filled cavity forms within the embryo. Therefore, the correct answer is 'Morula.'

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