ATI RN
Maternal Disorders Questions
Question 1 of 5
According to the standard staging classification for breast cancer, which criteria reflects stage 2 breast cancer?
Correct Answer: D
Rationale: The correct answer is D because it aligns with the criteria for stage 2 breast cancer in the standard staging classification. In stage 2, the tumor is typically larger than 2 cm but not larger than 5 cm, there is no regional lymph node metastasis, and there are no distant metastases. Option A is incorrect because the tumor size is smaller than 2 cm, which does not meet the criteria for stage 2. Option B is incorrect as it describes no evidence of tumor with lymph node metastasis, which does not represent stage 2. Option C is incorrect as the tumor size is larger than 5 cm, exceeding the criteria for stage 2.
Question 2 of 5
Mastectomy is usually recommended for which women?
Correct Answer: B
Rationale: The correct answer is B: Those who have multiple tumors in the breast in several quadrants. Mastectomy is usually recommended for patients with multiple tumors in several quadrants to ensure complete removal of all cancerous tissue. This choice is correct because it addresses the need for more extensive surgery to effectively treat the cancer. A: Those who have not had radiation to the breast - Incorrect, as radiation history is not the sole determinant for recommending mastectomy. C: Those with no extensive DCIS - Incorrect, as the presence of DCIS alone may not warrant a mastectomy. D: Those with a small tumor compared to breast volume - Incorrect, as tumor size relative to breast volume is not the primary factor in determining the need for mastectomy in cases of multiple tumors in several quadrants.
Question 3 of 5
The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B. Vaginal dryness is a common side effect of hormonal therapy. Using vaginal moisturizers like Replens or vitamin E suppositories can help alleviate this symptom by providing moisture and lubrication. This intervention can improve the woman's comfort and quality of life during treatment. Choice A is incorrect because wearing layered clothing and avoiding caffeine and spicy foods are strategies typically recommended for managing hot flashes, not vaginal dryness. Choice C is incorrect as managing nausea and vomiting with a bland diet and medication is not directly related to the management of side effects of hormonal therapy like vaginal dryness. Choice D is incorrect as warm baths and nonsteroidal analgesics are more commonly used to ease musculoskeletal symptoms, not specifically for managing vaginal dryness.
Question 4 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 5 of 5
Which statement by the woman indicates that she does not understand the teaching provided about postmastectomy breast reconstruction home care?
Correct Answer: B
Rationale: The correct answer is B because wearing a tight bra immediately after postmastectomy breast reconstruction is not recommended as it can restrict blood flow and cause discomfort. A is correct because avoiding trauma is important. C is correct because draining is necessary. D is correct because skin changes should be reported.