ATI RN
Maternal Disorders Questions
Question 1 of 5
A woman has been diagnosed with galactorrhea. Which signs and symptoms should the nurse expect to see? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Less interest in sex. Galactorrhea is the spontaneous flow of milk from the breast unassociated with childbirth or nursing. It is commonly caused by elevated levels of prolactin, which can suppress the production of sex hormones like estrogen and testosterone, leading to symptoms like decreased libido and less interest in sex. The other choices, A, B, and C, are incorrect because milky white discharge from nipples (A) is a symptom of galactorrhea, absence of menstrual periods (B) is more indicative of conditions like amenorrhea, and temperature intolerance (C) is not typically associated with galactorrhea.
Question 2 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 3 of 5
List in order of priority the immediate postoperative mastectomy nursing actions.
Correct Answer: B
Rationale: The correct answer is B because assessing vital signs and monitoring parenteral fluids are essential postoperative nursing actions to detect any signs of complications such as hemorrhage or fluid imbalance. This prioritizes the patient's physiological stability and safety. Elevating the affected arm (A) is important for comfort but not as immediate as monitoring vital signs. Monitoring for hemorrhage (C) is crucial but comes after ensuring the patient's physiological stability. Teaching relaxation techniques (D) is important for holistic care but is not as immediate as monitoring vital signs and fluid balance.
Question 4 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 5 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.