Question 1

Which is a goal of the Continental Policy Framework on Sexual and Reproductive Health and Rights?&#10;A) Eliminate infant and maternal death.&#10;B) Reduce hormonal contraceptive use.&#10;C) Reduce youth and adolescent access to sexual reproductive health&#10;D) Eradicate female genital mutilation.

Accepted Answer

The Continental Policy Framework on Sexual and Reproductive Health and Rights has 10 strategic interventions. These include expanding contraceptive use, ensuring access to sexual reproductive health services and education, eradicating female genital mutilation, and ending early child marriage.

Question 2

Which is thought to contribute to the increasing infant mortality rates in Lesotho?&#10;A) Low unemployment rates&#10;B) Food deserts&#10;C) Prevalence of HIV and AIDS&#10;D) Domestic violence and abuse

Accepted Answer

The level of infant mortality in Lesotho has been attributed to poverty, high unemployment rates, and the high prevalence of HIV and AIDS.

Question 3

The Bureau of statistics notes that over the last three decades, total fertility has:&#10;A) increased.&#10;B) decreased.&#10;C) remained unaffected by changes in contraceptive use.&#10;D) shifted, showing peak fertility at ages 19-24 years.

Accepted Answer

Total fertility has decreased over the last three decades, while contraceptive use has increased. Peak fertility in Lesotho has shifted to 25-29 years, showing that women no commence childbearing at later ages.

Question 4

Which is not considered a part of the provision of family planning services in Lesotho?&#10;A) Teaching acceptance and preservation of all pregnancies.&#10;B) Using condoms to prevent STIs and HIV transmission.&#10;C) Ensuring provision of various contraceptive methods.&#10;D) Ensuring that HIV positive clients make informed choices about treatment.

Accepted Answer

Family planning services in Lesotho aim to protect against unwanted pregnancies, ensure the use of condoms and other contraceptive methods, and ensure that HIV positive clients make informed decisions about their contraceptive method.

Question 5

The nurse is attending a lecture on medical services available in Lesotho. Which statement indicates that further education is needed?&#10;A) &#34;There are specialized healthcare services for clients who engage in oral sex.&#34;&#10;B) &#34;There is no available educational material on different types of sexual practices.&#34;&#10;C) &#34;There are no sex therapists in Lesotho.&#34;&#10;D) &#34;There are no urologists in Lesotho.&#34;

Accepted Answer

Health care providers only address penile-vaginal intercourse. There are no services available for clients who engaged in other forms of sexual intercourse, such as oral sex.

Question 6

The nurse is listening to a lecture on the reason for lack of prenatal care in Lesotho. Which statement by one of the learners indicates that further education is needed?&#10;A) &#34;Most family use healers with in the home.&#34;&#10;B) &#34;Poor road conditions prevent access to prenatal care.&#34;&#10;C) &#34;Lack of money to rent vehicles.&#34;&#10;D) &#34;Negative attitudes towards health professionals.&#34;

Accepted Answer

The reasons given for lack of prenatal care include: poor road conditions, long distances between home and clinics, lack of money to rent vehicles, and negative attitudes towards health care professionals."

Question 7

Which type of cancer is the most common in Lesotho?&#10;A) Oral&#10;B) Cervical&#10;C) Colon&#10;D) Ovary

Accepted Answer

Cervical cancer caused by human papillomavirus (HPV) is the most common cancer in Lesotho.

Question 8

Which statement regarding HIV rapid tests is accurate?&#10;A) Many health care personnel are unable to perform HIV rapid tests.&#10;B) It is outside the nursing assistant's scope of practice to perform HIV rapid tests.&#10;C) HIV rapid tests can easily be carried out in rural communities.&#10;D) Any patient who suspects they have HIV can perform a rapid test.

Accepted Answer

Special training is required to carry out HIV rapid testing. However, once training is complete, it can be carried out by many healthcare providers and laypersons, including nursing assistants, wards (under close supervision) and expert patients (under close supervision).

Question 9

Which child would the nurse test for HIV?&#10;A) The child at a well clinic.&#10;B) The child with HIV negative parents&#10;C) The child with failure to thrive&#10;D) The child who was born full term

Accepted Answer

The nurse would test the child with failure to thrive for HIV, which could be the root cause of the child's condition.

Question 10

Which adult would the nurse test for HIV?&#10;A) The male in a married, monogamous relationship.&#10;B) The female at a yearly check up&#10;C) The female working as a counselor&#10;D) The male diagnosed with TB

Accepted Answer

Adults who are admitted to the hospital, or are diagnosed with TB, malnutrition, or and STI should be tested for HIV.

Deck 20: Providing Sexual and Reproductive Care and Services in Resource-Constrained Countries: Sub-Saharan Africa Lesotho