ATI RN
Maternal Disorders Questions
Question 1 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 2 of 5
A pregnant woman at 30 weeks gestation discovers she is HPV positive at her prenatal visit. Upon examination, her provider detects genital warts. Which treatment is not recommended in this case?
Correct Answer: D
Rationale: The correct answer is D: Podophyllin. It is contraindicated in pregnancy due to its potential teratogenic effects. Carbon dioxide laser surgery, electrocautery, and surgical excision can be considered safer options for treating genital warts during pregnancy. Podophyllin should be avoided to prevent harm to the developing fetus.
Question 3 of 5
A client comes to an outpatient clinic for evaluation. What in the client's blood sample reveals that administration of the hepatitis B vaccine has been effective?
Correct Answer: B
Rationale: The correct answer is B: anti-HBs. This antibody indicates successful immunity after hepatitis B vaccination. It is produced in response to the vaccine and signifies protection against the virus. Choice A, HBsAg, is present in acute infection. Choices C and D, anti-HBc IgM and anti-HBc, indicate acute or chronic infection, not vaccine response.
Question 4 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 5 of 5
Which best describes the signs and symptoms of trichomoniasis in women?
Correct Answer: B
Rationale: Rationale: Trichomoniasis is characterized by malodorous, frothy yellow-green vaginal discharge due to the presence of Trichomonas vaginalis parasite. This discharge is a hallmark sign of the infection. Other choices are incorrect because: A: Foul, fishy odor and thick clumpy white discharge are more indicative of bacterial vaginosis or yeast infection. C: Dysuria and thin milky-white discharge are more suggestive of a urinary tract infection. D: Trichomoniasis can manifest with symptoms in women such as vaginal discharge, itching, and discomfort.