Nokea
A client is considering the lactational amenorrhea method (LAM) for contraception. Which of the following conditions must be met for LAM to be effective?
- A. The client must be exclusively breastfeeding, amenorrheic, and less than 6 months postpartum.
- B. The client must be breastfeeding at least once daily and less than 12 months postpartum.
- C. The client must be amenorrheic and supplementing with formula.
- D. The client must be exclusively breastfeeding and have regular periods.
Correct Answer: A
Rationale: LAM is effective when the client is exclusively breastfeeding, amenorrheic, and less than 6 months postpartum, as these conditions suppress ovulation. The other options include factors that reduce its effectiveness, such as formula supplementation or regular periods.
You may also like to solve these questions
The nurse explains the complications of pregnancy that occur with diabetes to a primigravid client at 10 weeks' gestation who has a 5-year history of insulin-dependent diabetes. Which of the following, if stated by the client as a complication, indicates the need for additional teaching?
- A. Candida albicans infection.
- B. Twin-to-twin transfer.
- C. Polyhydramnios.
- D. Preeclampsia.
Correct Answer: B
Rationale: Twin-to-twin transfer is not a complication of diabetes.
A primigravid client whose cervix is 7 cm dilated with the fetus at 0 station and in a left occipitoposterior (LOP) position requests pain relief for severe back pain. The nurse should:
- A. Provide firm pressure to the client's sacral area.
- B. Prepare the client for a cesarean delivery.
- C. Prepare the client for a precipitate delivery.
- D. Place the client in a left side-lying position.
Correct Answer: A
Rationale: LOP position often causes severe back pain due to the fetal occiput pressing against the sacrum. Firm sacral pressure (counterpressure) can alleviate this pain. Cesarean or precipitate delivery is not indicated unless other complications arise, and side-lying may help but is less specific.
Two weeks after a breast-feeding primiparous client is discharged, she calls the birthing center and says that she is afraid she is "losing my breast milk. The baby had been nursing every 4 hours, but now she's crying to be fed every 2 hours." The nurse interprets the neonate's behavior as most likely caused by which of the following?
- A. Lack of adequate intake to meet maternal nutritional needs.
- B. The mother's fears about the baby's weight gain.
- C. Preventing the neonate from sucking long enough with each feeding.
- D. The neonate's temporary growth spurt, which requires more feedings.
Correct Answer: D
Rationale: Increased feeding frequency at 2 weeks is typical of a growth spurt, requiring more frequent nursing.
As a nurse begins her shift on the obstetrical unit, there are several new admissions. The client with which of the following conditions would be a candidate for induction?
- A. Pregnancy-induced hypertension (PIH).
- B. Active herpes.
- C. Face presentation.
- D. Fetus with late decelerations.
Correct Answer: A
Rationale: Pregnancy-induced hypertension (PIH) is an indication for induction to prevent maternal-fetal complications. Active herpes, face presentation, or late decelerations are contraindications due to risks of infection, dystocia, or fetal distress.
Assessment reveals that the fetus of a multigravid client is at +1 station and 8 cm dilated. Based on these data, the nurse should first:
- A. Ask anesthesia to increase epidural rate.
- B. Assist the client to push if she feels the need to do so.
- C. Encourage the client to breathe through the urge to push.
- D. Support family members in providing comfort measures.
Correct Answer: C
Rationale: At 8 cm dilation and +1 station, the client is in the transition phase but not fully dilated (10 cm). Pushing before full dilation can lead to cervical edema or lacerations. Encouraging the client to breathe through the urge to push helps prevent premature pushing while supporting labor progression. Increasing the epidural rate or assisting with pushing is inappropriate at this stage, and while family support is valuable, it is not the priority.