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 of the following is not a complication of menopause?

• A. Fractures
• B. Alzheimer's disease
• C. Congestive heart failure
• D. Painful intercourse

Correct answer: C

Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.

3. Which of the following is incorrect about oral contraceptive pill 'Saheli'?

• A. It is taken by females
• B. It has very few side effects
• C. It is a steroidal preparation
• D. It is 'Once a week' pill

Correct answer: C

Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.

4. How many arteries are there in an umbilical cord?

• A. Three
• B. One
• C. Two
• D. Four

Correct answer: C

Rationale: There are two arteries in an umbilical cord. The umbilical cord contains two arteries and one vein. Artery carries blood away from the fetus, while the vein returns blood to the fetus. Therefore, choices A, B, and D are incorrect as they do not represent the correct number of arteries in an umbilical cord.

5. Total Fertility Rate is at 6.2 births per woman in Zambia. This implies that:

• A. Zambian women will give birth to 6.2 children on average during their childbearing years.
• B. 6.2% of the time she will be pregnant during her childbearing years.
• C. 6.2% of her deliveries will not be successful.
• D. 6.2% of women will require medical intervention to become pregnant.

Correct answer: A

Rationale: A Total Fertility Rate of 6.2 means that a woman will give birth to an average of 6.2 children during her childbearing years. The correct answer is A as it accurately reflects the concept of Total Fertility Rate. Choice B is incorrect as it misinterprets the concept by equating it to a percentage of time being pregnant. Choice C is incorrect as it does not relate to the Total Fertility Rate but rather to the success rate of deliveries. Choice D is incorrect as it introduces the idea of medical intervention, which is not directly related to the Total Fertility Rate.

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