ATI RN
Maternal Disorders Questions
Question 1 of 5
A client comes to a community clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the client for which clinical manifestation of syphilis in the primary stage?
Correct Answer: A
Rationale: The correct answer is A: Chancre. In the primary stage of syphilis, a painless, firm, and non-itchy sore called a chancre appears at the site of infection. This sore can develop within 3 weeks of exposure to the bacteria. It is important for the nurse to examine the client for chancres as they are a hallmark sign of primary syphilis. B: A copper-colored rash involving the trunk and extremities is seen in the secondary stage of syphilis, not the primary stage. C: Flulike symptoms may occur in the primary stage but are not specific to syphilis. D: Condyloma lata are wart-like growths seen in secondary syphilis, not the primary stage. Therefore, the presence of a chancre is the key clinical manifestation to identify in the primary stage of syphilis.
Question 2 of 5
A 20-year-old college student expresses concern over the recent appearance of genital warts, an assessment finding her primary care provider confirms as attributable to HPV infection. Which client education should be included?
Correct Answer: B
Rationale: The correct answer is B: There is a chance that the genital warts will clear up on their own without any treatment. Rationale: 1. Genital warts caused by HPV can sometimes resolve spontaneously without treatment. 2. This option emphasizes the possibility of self-resolution, which is a common occurrence. 3. Encouraging observation without immediate treatment aligns with current guidelines for managing HPV-related genital warts. 4. Avoiding unnecessary treatment helps prevent potential side effects and reduces healthcare costs. Summary of Incorrect Choices: A: Incorrect because immediate treatment is not always necessary for genital warts caused by HPV. C: Incorrect because HPV vaccination does not treat existing HPV infections, including genital warts. D: Incorrect because developing pelvic inflammatory disease is not directly related to the presence of genital warts caused by HPV.
Question 3 of 5
A pregnant woman at 30 weeks gestation discovers she is HPV positive at her prenatal visit. Upon examination, her provider detects genital warts. Which treatment is not recommended in this case?
Correct Answer: D
Rationale: The correct answer is D: Podophyllin. It is contraindicated in pregnancy due to its potential teratogenic effects. Carbon dioxide laser surgery, electrocautery, and surgical excision can be considered safer options for treating genital warts during pregnancy. Podophyllin should be avoided to prevent harm to the developing fetus.
Question 4 of 5
A client comes to an outpatient clinic for evaluation. What in the client's blood sample reveals that administration of the hepatitis B vaccine has been effective?
Correct Answer: B
Rationale: The correct answer is B: anti-HBs. This antibody indicates successful immunity after hepatitis B vaccination. It is produced in response to the vaccine and signifies protection against the virus. Choice A, HBsAg, is present in acute infection. Choices C and D, anti-HBc IgM and anti-HBc, indicate acute or chronic infection, not vaccine response.
Question 5 of 5
An absence of what may facilitate the occurrence of bacterial vaginosis?
Correct Answer: B
Rationale: Correct Answer: B - Lactobacillus acidophilus Rationale: Lactobacillus acidophilus is a beneficial bacteria that helps maintain the acidic pH of the vagina, inhibiting the growth of harmful bacteria like Gardnerella vaginalis. An absence of Lactobacillus acidophilus can disrupt the vaginal microbiota balance, allowing for the overgrowth of harmful bacteria and leading to bacterial vaginosis. Summary of Incorrect Choices: A: Antibodies - Antibodies play a role in the immune response but are not directly related to the occurrence of bacterial vaginosis. C: Gardnerella vaginalis - Gardnerella vaginalis is a bacteria associated with bacterial vaginosis, not its absence. D: Vaginal mucosa - The integrity of the vaginal mucosa is important for protection, but its absence would not directly facilitate bacterial vaginosis.