ATI RN
Maternal Disorders Questions
Question 1 of 5
An absence of what may facilitate the occurrence of bacterial vaginosis?
Correct Answer: B
Rationale: Correct Answer: B - Lactobacillus acidophilus Rationale: Lactobacillus acidophilus is a beneficial bacteria that helps maintain the acidic pH of the vagina, inhibiting the growth of harmful bacteria like Gardnerella vaginalis. An absence of Lactobacillus acidophilus can disrupt the vaginal microbiota balance, allowing for the overgrowth of harmful bacteria and leading to bacterial vaginosis. Summary of Incorrect Choices: A: Antibodies - Antibodies play a role in the immune response but are not directly related to the occurrence of bacterial vaginosis. C: Gardnerella vaginalis - Gardnerella vaginalis is a bacteria associated with bacterial vaginosis, not its absence. D: Vaginal mucosa - The integrity of the vaginal mucosa is important for protection, but its absence would not directly facilitate bacterial vaginosis.
Question 2 of 5
A client with a history of herpes simplex virus (HSV-2) infection asks the nurse about future sexual activity. Which response is most appropriate?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Informing all potential sexual partners about the HSV-2 infection, even if inactive, is crucial to ensure transparency and promote informed decision-making. 2. HSV-2 can be transmitted even when symptoms are not present, so partners need to be aware of the risk. 3. This approach demonstrates respect for the partners' autonomy and enables them to make choices regarding their own health. Summary: A: Incorrect. Using a condom is important even when the infection is inactive to prevent transmission. B: Incorrect. Refraining from all sexual activity may not be necessary if proper precautions are taken. C: Incorrect. Using a condom only when the infection is active does not fully address the risk of transmission during asymptomatic periods.
Question 3 of 5
A client has an HSV-2 infection. The nurse recognizes that which of the following should be included in teaching the patient?
Correct Answer: B
Rationale: The correct answer is B because HSV-2 is a sexually transmitted infection that causes genital herpes. Treatment focuses on managing symptoms like antiviral medications, not curing the virus. Explanation of other choices: A is incorrect because HSV-2 causes genital sores, not cold sores on the lips. C is incorrect because antibiotics do not cure viral infections. D is incorrect because HSV-2 can be transmitted even when there are no visible lesions through asymptomatic shedding.
Question 4 of 5
A male client is being seen by a physician at a community clinic regarding a painless ulcer on his penis. The provider will be communicating his diagnosis of syphilis and prescribing treatment. In the primary stage of syphilis, what is the time between infection and development of symptoms?
Correct Answer: C
Rationale: The correct answer is C: 21 days. The primary stage of syphilis typically occurs around 21 days after infection when a painless ulcer, known as a chancre, appears at the site of infection. This is due to the multiplication of the bacterium Treponema pallidum. Choice A (7 days) is too short for the development of symptoms. Choice B (10 days) is also too short. Choice D (35 days) is too long for the primary stage of syphilis.
Question 5 of 5
A nurse is teaching a community health class of women and explains that an STI is associated with an increased risk of infertility in women. Which STIs should the nurse identify?
Correct Answer: C
Rationale: The correct answer is C: Chlamydia. Chlamydia is associated with an increased risk of infertility in women due to its ability to cause pelvic inflammatory disease (PID), which can lead to scarring and damage to the reproductive organs. This scarring can result in blocked fallopian tubes, making it difficult for an egg to be fertilized by sperm. HSV-2 (Choice A) is a viral infection that primarily causes genital herpes but is not directly linked to infertility. Syphilis (Choice B) can lead to serious complications but infertility is not a common outcome. HPV (Choice D) is a sexually transmitted infection that can cause genital warts and cervical cancer, but it does not typically lead to infertility in women.