ATI RN
Maternal Disorders Questions
Question 1 of 5
How does HPV manifest in HIV-positive clients?
Correct Answer: C
Rationale: The correct answer is C: Condylomata. HPV manifests in HIV-positive clients through the development of genital warts known as condylomata acuminata. This is a common manifestation due to the weakened immune system in HIV-positive individuals. Condylomata lata (choice B) is associated with syphilis, not HPV. Cough (choice A) is not a typical manifestation of HPV in HIV-positive clients. Chancre (choice D) is a primary lesion seen in syphilis, not HPV.
Question 2 of 5
The primary fetal risk when the mother has any type of anemia is for:
Correct Answer: D
Rationale: The correct answer is D: Reduced oxygen delivery. Anemia in the mother can lead to decreased oxygen-carrying capacity in the blood, resulting in reduced oxygen delivery to the fetus. This can lead to fetal hypoxia, affecting the baby's growth and development. Neonatal anemia (choice A) is a consequence of the mother's anemia affecting the baby after birth, not the primary risk. Elevated bilirubin level (choice B) is not directly related to maternal anemia but may occur in conditions like Rh incompatibility. Limited infection defenses (choice C) is not the primary fetal risk associated with maternal anemia, although it can be a concern in severe cases due to decreased immune response.
Question 3 of 5
Reduction in congenital rubella is best accomplished by:
Correct Answer: D
Rationale: The correct answer is D because immunizing susceptible women at least 28 days before they become pregnant ensures protection against rubella during pregnancy, reducing the risk of congenital rubella syndrome in the fetus. This timing allows for the development of immunity before conception. Avoiding contact with young children (A) does not directly prevent rubella transmission to pregnant women. Taking prophylactic antibiotics during pregnancy (B) is not recommended for rubella prevention. Testing rubella titer at the first prenatal visit (C) only assesses current immunity status but does not actively prevent congenital rubella.
Question 4 of 5
The correct injection technique for infants of mothers who are known carriers of hepatitis B virus is to:
Correct Answer: A
Rationale: The correct answer is A because infants born to mothers who are known carriers of hepatitis B virus should receive the hepatitis B vaccine within 12 hours of birth. Delaying intramuscular injections until 1 month of age increases the risk of vertical transmission of the virus. Choice B is incorrect because diluting injections with normal saline is unnecessary and may compromise the effectiveness of the vaccine. Choice C is incorrect as mixing all injections in a single syringe can lead to contamination and inaccurate dosing. Choice D is incorrect as bathing the injection site does not prevent vertical transmission of the virus.
Question 5 of 5
A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Assess deep tendon reflexes. This is the priority because preeclampsia can progress to eclampsia, a life-threatening condition characterized by seizures. Assessing deep tendon reflexes helps in identifying signs of impending eclampsia. Obtaining a complete blood count (option B) and routine urinalysis (option D) are important in monitoring for complications of preeclampsia but do not address the immediate risk of seizures. Assessing baseline weight (option C) is also important but does not take precedence over assessing deep tendon reflexes in this scenario.