ATI RN
Maternal Disorders Questions
Question 1 of 5
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B because it is incorrect. Chlamydia can be spread by individuals who are asymptomatic, so the statement that individuals can only spread it if symptomatic is inaccurate. Asymptomatic individuals can still transmit the infection to others. Therefore, this statement indicates a need for further instruction. Choices A, C, and D are all correct statements. Treatment is necessary for asymptomatic individuals to prevent complications, pregnant women should be screened for chlamydia to prevent transmission to the baby, and any sexually active individuals can indeed be infected with chlamydia.
Question 2 of 5
A male client reports painful urination and a creamy yellow drainage from the urethra. During the assessment, he admits to having unprotected sex. With which STI does the nurse associate these clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Gonorrhea. Painful urination and yellow discharge from the urethra are classic symptoms of gonorrhea, a bacterial sexually transmitted infection (STI). Gonorrhea is commonly transmitted through unprotected sexual contact. The creamy yellow discharge is a key indicator of gonorrhea infection. The other choices are incorrect because: A: Candidiasis typically presents with white, cottage cheese-like discharge and itching, not yellow discharge or painful urination. B: HPV does not cause painful urination or discharge from the urethra; it usually presents with genital warts or abnormal pap smears. C: Trichomoniasis may cause green, frothy discharge and discomfort, but not creamy yellow discharge or painful urination.
Question 3 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 4 of 5
During the physical assessment of a female client with HPV, which should the nurse expect to find?
Correct Answer: B
Rationale: The correct answer is B: Condylomata. HPV can manifest as genital warts or condylomata acuminata. These are flesh-colored growths that appear on the genital area. The presence of condylomata indicates an active HPV infection. Choices A and C are incorrect as purulent or malodorous discharge is not typically associated with HPV. Choice D is incorrect as HPV often presents with visible symptoms like condylomata.
Question 5 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.