Maternal And Child Health Nursing NCLEX Quiz 37

A mother who breastfeeds exclusively and regularly during the first 6 months benefits from lactation amenorrhea. There is evidence to support the observation that the benefits of lactation amenorrhea last for 6 months provided the woman has not had her first menstruation since delivery of the baby.

The cause of variable fetal heart decelerations is umbilical cord compression. which can usually be corrected by changing the maternal position.

All of the above are essential for enhanced fertility except no. 3 because during the dry period the woman is in her infertile period thus even when sexual contact is done. there will be no ovulation. thus fertilization is not possible.

If the mother is breastfeeding. the progesterone only type is the best because estrogen can affect lactation.

Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.

Not all menstrual cycles are ovulatory. Normal ovulation in a woman occurs between the 14th to the 16th day before the NEXT menstruation. A common misconception is that ovulation occurs on the 14th day of the cycle. This is a misconception because ovulation is determined NOT from the first day of the cycle but rather 14-16 days BEFORE the next menstruation.

The release of the hormone progesterone in the body following ovulation causes a slight elevation of basal body temperature of about 0.2 – 0.4 degrees centigrade

An intrauterine device is a foreign body so that if it is inserted into the uterine cavity. the initial reaction is to produce inflammatory process and the uterus will contract in order to try to expel the foreign body. Usually. IUDs are coated with copper to serve as spermicide killing the sperms deposited into the female reproductive tract. But the IUD does not completely fill up the uterine cavity thus sperms which are microscopic is size can still pass through.

Standard Days Method (SDM) requires that the menstrual cycles are regular between 26-32 days. There is no need to monitor temperature or mucus secretion. This natural method of family planning is very simple since all that the woman pays attention to is her cycle. With the aid of CycleBeads. the woman can easily monitor her cycles.

Mittelschmerz. spinnbarkeit and thin watery cervical mucus are signs of ovulation. When ovulation occurs. the hormone progesterone is released which can cause a slight elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees centigrade.