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. In which part of the fallopian tube is tubal abortion most common?

• A. Ampullary portion
• B. Isthmus
• C. Interstitial portion
• D. Infundibulum

Correct answer: C

Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.

3. Which of the following hormones promotes endometrial growth?

• A. LH
• B. FSH
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for promoting endometrial growth. Estrogen helps thicken the endometrium during the menstrual cycle in preparation for implantation. LH (Choice A) and FSH (Choice B) are involved in regulating the menstrual cycle but do not directly promote endometrial growth. Progesterone (Choice D) is important for maintaining the endometrium after ovulation but is not the primary hormone responsible for promoting its growth.

4. Complete abortion is characterized by:

• A. Os closed.
• B. Firm contracted uterus.
• C. Heavy bleeding.
• D. Heavy cramping.

Correct answer: A

Rationale: Complete abortion is characterized by a firm contracted uterus with a closed os. This closure of the os indicates that the products of conception have been completely expelled from the uterus. Choices B, C, and D are incorrect because a firm contracted uterus with a closed os is the hallmark sign of a complete abortion, not heavy bleeding, heavy cramping, or any other features.

5. 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.

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