ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
Fibrocystic changes in the breast most often appear in women in their 20s and 30s. Although the cause is unknown, an imbalance of estrogen and progesterone may be the cause. The nurse who cares for this client should be aware that treatment modalities are conservative. Which proven modality may offer relief for this condition?
Correct Answer: A
Rationale: In the management of fibrocystic changes in the breast, the correct answer is A) Diuretic administration. This treatment option is effective because it helps reduce breast swelling and discomfort associated with fibrocystic changes by eliminating excess fluid from the body. Diuretics work by increasing urine production, which can help alleviate symptoms such as breast tenderness and pain. Option B) Daily inclusion of caffeine in the diet is incorrect because caffeine intake is known to exacerbate symptoms of fibrocystic breast changes due to its stimulatory effects on the breast tissue, leading to increased discomfort. Option C) Increased vitamin C supplementation is also not the appropriate treatment modality for fibrocystic changes in the breast. While vitamin C is essential for overall health and immune function, there is no direct evidence to suggest that it provides relief for fibrocystic breast changes. Option D) Application of cold packs to the breast as necessary may offer temporary relief from symptoms like pain and swelling, but it does not address the underlying cause of fibrocystic changes in the breast or provide long-term relief compared to diuretic administration. Educationally, understanding the rationale behind the treatment modalities for fibrocystic changes in the breast is crucial for nurses caring for women experiencing this condition. By knowing the appropriate interventions, nurses can provide effective symptom management and support to improve the quality of life for their patients. It is essential to base interventions on evidence-based practice to ensure optimal patient outcomes and well-being.
Question 2 of 5
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
Correct Answer: B
Rationale: In maternal newborn nursing, understanding the use of a pessary is crucial for managing certain disorders. The correct answer is B) Uterine prolapse. A pessary is a device inserted into the vagina to support pelvic organs such as the uterus in cases of prolapse. This mechanical support helps alleviate symptoms and can prevent further descent of the uterus. Option A) Cystocele involves the descent of the bladder into the vaginal wall, which may require a different type of intervention such as pelvic floor exercises or surgery, not typically managed with a pessary. Option C) Rectocele is the bulging of the rectum into the back wall of the vagina. Management usually involves lifestyle modifications, pelvic floor exercises, or surgery, but not typically a pessary. Option D) Stress urinary incontinence is the involuntary leakage of urine with physical activity. While a pessary may provide some support to the urethra, it is not the primary treatment for this condition. Behavioral therapies, pelvic floor exercises, or surgery are more commonly used for stress urinary incontinence. In the context of maternal newborn nursing, understanding the appropriate use of interventions like pessaries is essential for providing comprehensive care to women experiencing pelvic organ prolapse. Nurses need to be knowledgeable about the indications, contraindications, and management strategies associated with different pelvic floor disorders to ensure optimal outcomes for their patients.
Question 3 of 5
The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
Correct Answer: C
Rationale: To maintain good nutrition, the woman should eat high-protein meals or use protein supplements and should have a high daily fluid intake of 2 to 3 L. The woman is counseled about good skin care and taught to avoid soaps, ointments, cosmetics, and deodorants because these may contain metals that would alter the radiation dose she receives.
Question 4 of 5
When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders?
Correct Answer: C
Rationale: The correct answer is option C) Risk for injury, related to lack of skill for self-care, as the nursing diagnosis does not directly address the psychological impact of neoplasms on the reproductive system. Option A) Anxiety related to surgical procedures addresses the emotional distress related to the procedures involved in managing neoplasms. Option B) Disturbed body image as a result of changes in anatomy focuses on the impact of physical changes on body image and self-esteem, which are psychological aspects. Option D) Interrupted family processes considers the potential disruptions within the family unit due to the diagnosis and treatment of neoplasms, which involve psychological and emotional components related to family dynamics. In educational context, it is important for nurses to assess not only the physical but also the psychosocial aspects of clients with neoplasms. Understanding the psychological impact of these disorders is crucial for providing holistic care and addressing the emotional needs of the clients. By identifying the correct nursing diagnosis that encompasses both physical and psychological aspects, nurses can develop effective care plans that promote the overall well-being of clients with neoplasms of the reproductive system.
Question 5 of 5
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
Correct Answer: A
Rationale: In the context of preinvasive cervical cancer, cryosurgery is the most appropriate modality to discuss with the client. Cryosurgery involves freezing and destroying abnormal cells on the cervix. It is a less invasive procedure compared to a hysterectomy, which involves the removal of the uterus and may not be necessary for preinvasive conditions. Colposcopy is a diagnostic procedure that visualizes the cervix for abnormalities but does not treat the condition. Internal radiation is typically used for invasive cervical cancer and not for preinvasive conditions. Educationally, it is important for nurses to understand the different modalities available for treating cervical abnormalities to provide comprehensive patient education and support. By discussing the advantages, risks, and outcomes of each option with the client, nurses empower them to make informed decisions about their healthcare. Understanding the rationale behind the choice of cryosurgery in this scenario ensures that nurses can effectively communicate with clients and support them throughout their treatment journey.