ATI RN
Maternal Disorders Questions
Question 1 of 5
The client calls the nurse and states she has not had a menstrual cycle in 3 months. What does the nurse know is the most common cause of secondary amenorrhea?
Correct Answer: B
Rationale: The correct answer is B: Pregnancy. In the case of secondary amenorrhea, where a woman stops menstruating after previously having regular cycles, pregnancy is the most common cause. Pregnancy leads to a halt in the menstrual cycle due to hormonal changes to support the developing fetus. Other choices are incorrect: A) Weight loss can affect menstruation but is not the most common cause of secondary amenorrhea. C) Cancer can also disrupt the menstrual cycle, but it is not the primary cause in this scenario. D) Menopause typically occurs in women in their late 40s to early 50s, and would not be the most common cause of secondary amenorrhea in a younger woman.
Question 2 of 5
Which should the nurse recommend to the client to relieve premenstrual syndrome (PMS) symptoms? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D, decrease fiber intake. High-fiber foods can worsen bloating and digestive issues associated with PMS. By reducing fiber intake, gas and bloating can be minimized, alleviating these symptoms. NSAIDs (A) can help with pain but do not address other PMS symptoms. Exercise (B) can be beneficial, but it may not directly target PMS symptoms. Decreasing caffeine (C) can help with mood swings, but it is not as effective for physical symptoms compared to reducing fiber intake.
Question 3 of 5
A woman is noted to have multiple soft warts on her perineum and rectal areas. The nurse suspects that this client has which type of infection?
Correct Answer: B
Rationale: The correct answer is B: HPV. Human papillomavirus (HPV) causes soft warts in the perineum and rectal areas. HPV is a common sexually transmitted infection known to cause genital warts. The other choices are incorrect because HIV does not typically present with warts, syphilis manifests with painless sores rather than soft warts, and herpes simplex virus causes painful blisters rather than soft warts in the specified areas.
Question 4 of 5
The nurse is discussing risk factors for endometriosis with a new nurse. Which client would the nurse identify as being at the highest risk for developing endometriosis?
Correct Answer: C
Rationale: The correct answer is C because genetics play a significant role in the development of endometriosis. If a client's mother had endometriosis, there is an increased likelihood of her developing the condition. This is due to shared genetic factors that may predispose individuals to endometriosis. Smoking (choice A) is a risk factor for many health conditions but not specifically for endometriosis. Irregular menstrual cycles (choice B) may be a symptom of endometriosis but do not directly increase the risk of developing it. Having a previous cesarean section (choice D) is not a known risk factor for endometriosis.
Question 5 of 5
The client has been taking danazol for endometriosis for 3 years. She tells you that she would like to have a baby and wants to stop taking this medication. She wants to know what will happen when she stops. Which is the nurse’s best response?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The nurse should explain to the client that once she stops any medication for endometriosis, her symptoms may return in 1 to 5 years. This is the best response because endometriosis is a chronic condition, and stopping the medication can lead to a recurrence of symptoms over time. It is important for the client to be aware of this possibility to make informed decisions about her health and fertility. By mentioning the timeframe of 1 to 5 years, the nurse provides a general idea of when symptoms may return, allowing the client to plan accordingly. Summary of Incorrect Choices: A: Nothing, your endometriosis will not return - This is incorrect because endometriosis is a chronic condition that can recur when medication is stopped. B: If you stop taking danazol, it could increase your blood pressure - This is incorrect as danazol is not typically associated with blood pressure changes upon discontinuation. D: Once you stop