ATI RN
Maternal Disorders Questions
Question 1 of 5
A client with a history of herpes simplex virus (HSV-2) infection asks the nurse about future sexual activity. Which response is most appropriate?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Informing all potential sexual partners about the HSV-2 infection, even if inactive, is crucial to ensure transparency and promote informed decision-making. 2. HSV-2 can be transmitted even when symptoms are not present, so partners need to be aware of the risk. 3. This approach demonstrates respect for the partners' autonomy and enables them to make choices regarding their own health. Summary: A: Incorrect. Using a condom is important even when the infection is inactive to prevent transmission. B: Incorrect. Refraining from all sexual activity may not be necessary if proper precautions are taken. C: Incorrect. Using a condom only when the infection is active does not fully address the risk of transmission during asymptomatic periods.
Question 2 of 5
A male client is being seen by a physician at a community clinic regarding a painless ulcer on his penis. The provider will be communicating his diagnosis of syphilis and prescribing treatment. In the primary stage of syphilis, what is the time between infection and development of symptoms?
Correct Answer: C
Rationale: The correct answer is C: 21 days. The primary stage of syphilis typically occurs around 21 days after infection when a painless ulcer, known as a chancre, appears at the site of infection. This is due to the multiplication of the bacterium Treponema pallidum. Choice A (7 days) is too short for the development of symptoms. Choice B (10 days) is also too short. Choice D (35 days) is too long for the primary stage of syphilis.
Question 3 of 5
A nurse is teaching a community health class of women and explains that an STI is associated with an increased risk of infertility in women. Which STIs should the nurse identify?
Correct Answer: C
Rationale: The correct answer is C: Chlamydia. Chlamydia is associated with an increased risk of infertility in women due to its ability to cause pelvic inflammatory disease (PID), which can lead to scarring and damage to the reproductive organs. This scarring can result in blocked fallopian tubes, making it difficult for an egg to be fertilized by sperm. HSV-2 (Choice A) is a viral infection that primarily causes genital herpes but is not directly linked to infertility. Syphilis (Choice B) can lead to serious complications but infertility is not a common outcome. HPV (Choice D) is a sexually transmitted infection that can cause genital warts and cervical cancer, but it does not typically lead to infertility in women.
Question 4 of 5
A nurse is developing a plan of care for a 16-year-old female client experiencing her first outbreak of genital herpes. The client states that she contracted the disease by holding hands with someone who has syphilis. Which nursing diagnosis should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Lack of knowledge about the disease and its transmission. This is the priority nursing diagnosis because the client's statement about contracting herpes by holding hands with someone who has syphilis indicates a lack of understanding about how genital herpes is transmitted. The nurse should prioritize educating the client about the disease, its transmission, and prevention to empower the client to make informed decisions about her health. Choices A, C, and D are incorrect: A: Acute pain may be a symptom of genital herpes, but addressing the lack of knowledge about the disease and its transmission is more essential for the client's well-being. C: While coping with the stress of the infection is important, addressing the lack of knowledge should take precedence to prevent further transmission and help the client manage the condition effectively. D: Noncompliance with treatment may be a concern, but addressing the client's lack of knowledge about the disease and its transmission is crucial in promoting understanding and adherence to treatment.
Question 5 of 5
When the client is started on antiretroviral drugs for HIV, what will be important for the nurse to teach the client?
Correct Answer: B
Rationale: The correct answer is B: This drug will not cure the disease but could extend your life expectancy. Antiretroviral drugs for HIV do not cure the disease but help manage it by reducing viral load and boosting immune function, extending life expectancy. Choice A is incorrect because currently, there is no cure for HIV. Choice C is incorrect as antiretroviral drugs are not used prior to vaccines but are used to treat HIV infection. Choice D is incorrect because the availability of antiretroviral drugs may vary worldwide.