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 type of epithelium lines the fallopian tubes?

• A. Ciliated epithelium.
• B. Stratified epithelium.
• C. Columnar epithelium.
• D. Endometrium.

Correct answer: A

Rationale: The correct answer is A: Ciliated epithelium. The fallopian tubes are lined with ciliated epithelium, which helps to move the egg from the ovary to the uterus. Choice B, Stratified epithelium, is incorrect because the fallopian tubes are lined with a single layer of cells. Choice C, Columnar epithelium, is incorrect as it does not accurately describe the lining of the fallopian tubes. Choice D, Endometrium, is incorrect because the endometrium is the inner lining of the uterus, not the fallopian tubes.

3. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

• A. Threatened abortion
• B. Inevitable abortion
• C. Complete abortion
• D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

4. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

5. Polymenorrhoea is defined as:

• A. Menstruation that occurs at an interval less than 35 days
• B. Menstruation that occurs at an interval greater than 35 days
• C. Menstruation that occurs at an interval less than 21 days
• D. Menstruation that occurs at an interval greater than 21 days

Correct answer: C

Rationale: Polymenorrhoea is defined as menstruation that occurs at intervals shorter than 21 days. Choice A is incorrect because it describes menstruation at intervals less than 35 days. Choice B is incorrect as it describes menstruation at intervals greater than 35 days. Choice D is incorrect as it describes menstruation at intervals greater than 21 days.

Similar Questions