ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is assessing a 33-year-old female patient who comes to the family practice clinic with complaints of excessive menstrual bleeding with bleeding between periods for the past 6 months. The health care provider has performed an endometrial biopsy and has discontinued the patient's oral contraceptives. What is the rationale for this treatment?
Correct Answer: C
Rationale: The correct rationale for discontinuing the oral contraceptives in a patient with excessive menstrual bleeding and bleeding between periods is that this condition is often associated with hyperplasia of the endometrial tissue, which can be exacerbated with the use of oral contraceptives. Endometrial hyperplasia is a condition characterized by the abnormal thickening of the lining of the uterus, which can lead to heavy or prolonged menstrual bleeding. Estrogen contained in oral contraceptives can contribute to this thickening of the endometrial tissue, potentially worsening the patient's symptoms. By discontinuing the oral contraceptives, the provider aims to reduce the estrogen levels in the body, which may help alleviate the symptoms associated with endometrial hyperplasia. An endometrial biopsy is also important in this case to further investigate the underlying cause of the abnormal bleeding.
Question 2 of 5
The nurse is assessing a 42-year-old patient who presents to the gynecology office with complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health care provider has diagnosed the patient with leiomyoma of the uterus. What are the treatment options for this condition? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
Question 4 of 5
A nurse is caring for a patient who was diagnosed with urethritis. What does the nurse identify as a possible cause?
Correct Answer: A
Rationale: Urethritis is inflammation of the urethra usually caused by an infection. Neisseria gonorrhoeae, commonly known as gonorrhea, is a sexually transmitted bacterium known to cause urethritis. It is a common cause of urethritis in sexually active individuals. Escherichia coli is associated with urinary tract infections but not typically urethritis. Pregnancy is not a cause of urethritis. Spermicides can potentially irritate the urethra but are not a common cause of urethritis.
Question 5 of 5
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.