ATI RN
ATI Maternal Newborn RN Questions
Extract:
A client who had a dilation and curettage (D&C) following a spontaneous miscarriage
Question 1 of 5
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
Correct Answer: After a D&C, vaginal intercourse should be avoided for about 2 weeks to allow healing and reduce infection risk. Products of conception are removed during the procedure, so bleeding should not contain them. There's no specific need for zinc-rich foods post-D&C, and aspirin is avoided due to bleeding risk; NSAIDs like ibuprofen are preferred.
Rationale:
Extract:
A client who is 4 days postoperative following a right radical mastectomy
Question 2 of 5
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
Correct Answer: Combing hair requires lifting the arm above the shoulder, which can be painful and difficult due to impaired lymphatic drainage and nerve damage post-mastectomy. Brushing teeth, buttoning a blouse, and eating are less challenging as they require minimal arm elevation or strength.
Rationale:
Extract:
A postmenopausal woman with uterine prolapse being fitted with a pessary
Question 3 of 5
A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?
Correct Answer: Vaginal ulceration is a serious side effect of pessary use due to potential pressure necrosis and mucosal erosion. Increased vaginal discharge is normal, and UTIs and vaginitis are less common with proper hygiene and care.
Rationale:
Extract:
Young adolescents in a sexual health class
Question 4 of 5
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.
Correct Answer: Latex condoms are effective against STIs and pregnancy, unlike natural skin condoms. Condoms should be applied on an erect penis to prevent slippage, and stored in a cool, dry place to avoid damage. Baby oil degrades latex, and a tight fit increases breakage risk.
Rationale:
Extract:
A client diagnosed with endometriosis
Question 5 of 5
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?
Correct Answer: Progestins are first-line for endometriosis as they suppress endometrial tissue growth and reduce pain and bleeding. Antiestrogens and GnRH analogues are second-line due to severe side effects, and NSAIDs only provide symptomatic relief.
Rationale: