ATI RN
Maternal and Reproductive Health Nursing Questions
Question 1 of 5
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
Correct Answer: A
Rationale: In the context of maternal and reproductive health nursing, it is crucial to address disparities in breast cancer outcomes based on ethnicity. Option A, stating that breast cancer is more advanced in Black women when found, is the correct answer for several reasons. Firstly, research has consistently shown that Black women are more likely to be diagnosed with breast cancer at later stages, leading to poorer prognoses. This fact highlights the importance of early detection and screening initiatives tailored to this population. Option B is incorrect because while some Black women may carry the BRCA1 and BRCA2 genes, these mutations are not exclusive to this ethnic group. Therefore, it is not a defining characteristic that the nurse should focus on in a general breast cancer presentation. Option C is also incorrect as it introduces a different risk factor (smoking) that is not directly related to the question about breast cancer disparities based on ethnicity. While smoking can indeed impact overall health, it is not a predominant factor contributing to the higher incidence of advanced breast cancer in Black women. Option D is incorrect because the response to breast cancer treatment should not be generalized based on race. While there may be variations in treatment outcomes based on various factors, including genetic markers, overall treatment efficacy is not solely determined by race. In the educational context, understanding the impact of social determinants of health, such as ethnicity, on maternal and reproductive health outcomes is essential for providing culturally competent care. By addressing disparities in breast cancer incidence and outcomes, nurses can advocate for tailored interventions and support systems to improve the health outcomes of all individuals, regardless of their background.
Question 2 of 5
The nurse working in a maternity clinic suspects that a client and her children are in a violent relationship. While waiting for test results, the nurse decides to teach the client about intimate partner violence. What would be the best rationale for the nurse's decision?
Correct Answer: D
Rationale: The best rationale for the nurse's decision to teach the client about intimate partner violence (IPV) while waiting for test results is option D: "The nurse knows that children exposed to family violence are likely to be victims of abuse." This is the correct answer because children who witness or experience family violence are at a higher risk of becoming victims of abuse themselves. By educating the client about IPV, the nurse not only empowers the mother to recognize and address the violence but also potentially protects the children from future harm. Option A, stating that the woman may be weak and controlled by her partner, is not the best rationale because it focuses on the victim's perceived weaknesses rather than the impact on the children. While it is important to consider power dynamics in abusive relationships, the primary concern should be the safety and well-being of all individuals involved. Option B, suggesting that the nurse has a legal responsibility to protect clients, is not the most relevant rationale in this scenario. While there may be legal obligations to report suspected abuse in some jurisdictions, the immediate focus should be on providing support and education to the client to help her take steps to address the violence. Option C, mentioning an ethical responsibility to protect clients, is a valid consideration, but in the context of IPV, the emphasis should be on breaking the cycle of violence and safeguarding vulnerable individuals, particularly children. In an educational context, it is crucial for nurses working in maternal and reproductive health to be knowledgeable about IPV, its effects on families, and strategies for intervention and support. By addressing IPV proactively and sensitively, nurses can play a vital role in promoting the health and safety of their clients and their families.
Question 3 of 5
What is one purpose of the Healthy People 2030 objectives?
Correct Answer: D
Rationale: The correct answer is D because the Healthy People 2030 objectives aim to recommend changes to increase health promotion and disease prevention. These objectives focus on improving the overall health of the population by setting specific targets and goals for health promotion and disease prevention strategies. Choices A, B, and C are incorrect because the Healthy People 2030 objectives are specifically designed to address public health issues within the United States, not worldwide hunger, conflict in other countries, or solely cancer-related issues.
Question 4 of 5
The nurse is caring for a pregnant person who is living in an underserved area of town with a history of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease the risk of maternal mortality?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Connecting the patient to a counselor addresses the underlying issues of childhood abuse and opioid use disorder, which can contribute to maternal mortality. 2. Counseling can provide support, coping strategies, and mental health assistance crucial for at-risk individuals. 3. Addressing mental health concerns can improve overall well-being and increase the likelihood of seeking appropriate prenatal care. Summary: B: While education on risk factors is important, it may not directly address the patient's specific mental health and trauma history. C: Giving albuterol for asthma is essential but does not directly address the underlying factors contributing to maternal mortality. D: Moving out of the poor area is not a feasible or realistic solution and does not address the patient's mental health and substance abuse issues.
Question 5 of 5
The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?
Correct Answer: A
Rationale: The correct answer is A because sexual dysfunction is a sensitive and often stigmatized topic. By proactively asking all patients about sexual function, regardless of gender, the nurse creates an open and safe space for patients to disclose any issues they may be facing. Some individuals may feel uncomfortable or embarrassed discussing sexual problems, so it is crucial for healthcare providers to initiate the conversation. This approach allows for early identification and intervention, leading to better patient care and outcomes. Choice B is incorrect because not all patients will experience sexual problems. Choice C is incorrect as it is the responsibility of all healthcare providers to address sexual health concerns. Choice D is incorrect as sexual dysfunction can affect individuals of any gender.