ATI RN
Maternal Disorders Questions
Question 1 of 5
A nurse is providing preoperative teaching for a woman who is undergoing a total mastectomy. Which will this teaching include? Select all that apply.
Correct Answer: C
Rationale: Rationale for Answer C (Correct Answer): 1. Elevating the affected arm with pillows post-mastectomy helps reduce swelling and promote lymphatic drainage, aiding in preventing lymphedema. 2. By elevating the arm, it reduces strain on the surgical site and surrounding tissues, promoting comfort and aiding in the healing process. 3. This positioning also helps in preventing postoperative complications such as shoulder stiffness and contractures. Summary of Why Other Choices are Incorrect: - Choice A: While important aspects of preoperative teaching, it does not specifically address the need to elevate the affected arm post-mastectomy. - Choice B: Pain management is crucial, but it does not directly relate to the need for arm elevation post-mastectomy. - Choice D: Turning every 4 hours and coughing exercises are important for preventing complications but do not address the specific need for arm elevation post-mastectomy.
Question 2 of 5
When performing a breast assessment, the nurse is inspecting the woman’s skin for which of the following? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Color. When performing a breast assessment, inspecting the skin color is important to assess for any signs of redness, bruising, or discoloration which could indicate underlying issues. Thickening (B) is assessed through palpation, not inspection. Size and symmetry (C) is evaluated by comparing the breasts visually and through measurement. Venous pattern (D) is not typically a primary focus of skin inspection during a breast assessment.
Question 3 of 5
A woman has been diagnosed with single intraductal papilloma and has nipple discharge. Which diagnostic tests will most likely be required?
Correct Answer: D
Rationale: The correct answer is D: Ductogram. In a patient with single intraductal papilloma and nipple discharge, a ductogram is the most appropriate diagnostic test to visualize the ductal system for any abnormalities. A ductogram involves injecting contrast dye into the affected duct to identify any blockages or abnormalities. This test helps in determining the extent of the papilloma and planning appropriate treatment. Rationale for incorrect choices: A: MRI - While MRI can provide detailed images, it is not the primary test for evaluating intraductal papilloma and nipple discharge. B: Mammogram - Mammogram is used for breast imaging but may not provide detailed visualization of the ductal system. C: Core needle biopsy - While a biopsy may be needed to confirm the papilloma, it does not directly assess the ductal system for other abnormalities.
Question 4 of 5
The nurse is providing a 20-year-old woman diagnosed with fibrocystic disease with education about her condition. Which information should be included? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because pain or tenderness is not always present with fibrocystic disease. This information is important for the nurse to include when educating the patient. The other choices are incorrect because B is true - cysts are hormone-related, C describes the characteristics of fibrocystic disease, and D is false - fibrocystic disease is common in women between the ages of 30 and 50.
Question 5 of 5
A 17-year-old client presents to the clinic with concerns that she has not begun menstruating. She states that she is a gymnast and has been competing since she was 9 years old. Based on this history, what does the nurse know the client is most likely experiencing?
Correct Answer: C
Rationale: The correct answer is C: Primary amenorrhea. A 17-year-old who has not started menstruating is experiencing primary amenorrhea. This is likely due to her intense physical activity as a gymnast, which can delay the onset of menstruation. Secondary amenorrhea (A) occurs when menstruation stops after it has already begun. Polycystic ovary syndrome (B) is characterized by hormonal imbalances and ovarian cysts, not delayed onset of menstruation. Dysmenorrhea (D) refers to painful menstruation, which is not the issue in this case.