ATI RN
Maternal Disorders Questions
Question 1 of 5
List in order of priority the immediate postoperative mastectomy nursing actions.
Correct Answer: B
Rationale: The correct answer is B because assessing vital signs and monitoring parenteral fluids are essential postoperative nursing actions to detect any signs of complications such as hemorrhage or fluid imbalance. This prioritizes the patient's physiological stability and safety. Elevating the affected arm (A) is important for comfort but not as immediate as monitoring vital signs. Monitoring for hemorrhage (C) is crucial but comes after ensuring the patient's physiological stability. Teaching relaxation techniques (D) is important for holistic care but is not as immediate as monitoring vital signs and fluid balance.
Question 2 of 5
A woman has been diagnosed with single intraductal papilloma and has nipple discharge. Which diagnostic tests will most likely be required?
Correct Answer: D
Rationale: The correct answer is D: Ductogram. In a patient with single intraductal papilloma and nipple discharge, a ductogram is the most appropriate diagnostic test to visualize the ductal system for any abnormalities. A ductogram involves injecting contrast dye into the affected duct to identify any blockages or abnormalities. This test helps in determining the extent of the papilloma and planning appropriate treatment. Rationale for incorrect choices: A: MRI - While MRI can provide detailed images, it is not the primary test for evaluating intraductal papilloma and nipple discharge. B: Mammogram - Mammogram is used for breast imaging but may not provide detailed visualization of the ductal system. C: Core needle biopsy - While a biopsy may be needed to confirm the papilloma, it does not directly assess the ductal system for other abnormalities.
Question 3 of 5
The nurse is providing a 20-year-old woman diagnosed with fibrocystic disease with education about her condition. Which information should be included? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because pain or tenderness is not always present with fibrocystic disease. This information is important for the nurse to include when educating the patient. The other choices are incorrect because B is true - cysts are hormone-related, C describes the characteristics of fibrocystic disease, and D is false - fibrocystic disease is common in women between the ages of 30 and 50.
Question 4 of 5
A 17-year-old client presents to the clinic with concerns that she has not begun menstruating. She states that she is a gymnast and has been competing since she was 9 years old. Based on this history, what does the nurse know the client is most likely experiencing?
Correct Answer: C
Rationale: The correct answer is C: Primary amenorrhea. A 17-year-old who has not started menstruating is experiencing primary amenorrhea. This is likely due to her intense physical activity as a gymnast, which can delay the onset of menstruation. Secondary amenorrhea (A) occurs when menstruation stops after it has already begun. Polycystic ovary syndrome (B) is characterized by hormonal imbalances and ovarian cysts, not delayed onset of menstruation. Dysmenorrhea (D) refers to painful menstruation, which is not the issue in this case.
Question 5 of 5
The nurse is counseling a client on dietary recommendations for dysmenorrhea. Which statement by the client indicates understanding of the recommendations?
Correct Answer: B
Rationale: Correct Answer: B - I should avoid pretzels and potato chips. Rationale: 1. Pretzels and potato chips are high in salt, which can contribute to bloating and water retention, exacerbating dysmenorrhea symptoms. 2. Avoiding these snacks can help regulate blood sugar levels and reduce inflammation, leading to improved menstrual discomfort. 3. Choosing healthier snack options like fruits, vegetables, and whole grains can provide essential nutrients and support overall well-being. Incorrect Choices: A. Adopting a vegan diet may or may not directly impact dysmenorrhea symptoms, as it depends on the individual's specific dietary needs and nutrient intake. C. Increasing cranberry juice intake is more commonly recommended for urinary tract infections, not specifically for dysmenorrhea. D. Avoiding dairy is not a universal recommendation for dysmenorrhea, as dairy products can provide essential nutrients like calcium and vitamin D that are beneficial for overall health.