Maternity Nursing Q 204

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In a woman who is not breastfeeding, menstruation usually occurs after how many weeks?

  

     A. 2-4 weeks

     B. 6-8 weeks

     C. 6 months

     D. 12 months

    

    

Correct Answer: B. 6-8 weeks

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When the mother does not breastfeed, the normal menstruation resumes about 6-8 weeks after delivery. This is due to the fact that after delivery, the hormones estrogen and progesterone gradually decrease thus triggering negative feedback to the anterior pituitary to release the Follicle-Stimulating Hormone (FSH) which in turn stimulates the ovary to again mature a Graafian follicle and the menstrual cycle post pregnancy resumes.

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Option A: If the mother is nursing, she will typically not have her normal period for many months, depending on the amount and frequency of nursing and a number of supplemental feedings, if any. Research suggests only 20% of breastfeeding mothers will get their period back within the first six months.

Option C: Once the mother has weaned, her period will usually follow within a month or two. The woman may also see her period return as her baby begins to eat more solid foods or begins to supplement with formula or solids. This is normal as the amount of breastfeeding is less, meaning the mother is more likely to ovulate.

Option D: Some women use the lactational amenorrhea (LAM) technique as a means of birth control during this time. This is a very specific method of birth control with strict rules. Not every breastfeeding mother can use this for birth control.?

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