ATI RN
Maternal Disorders Questions
Question 1 of 5
The nurse is caring for an Rh-negative mother on the postpartum unit. What scenario indicates the need to administer RhoGAM to this patient?
Correct Answer: B
Rationale: Rationale: 1. Rh-negative mother with Rh-positive infant: During delivery, fetal blood can mix with maternal blood leading to sensitization. 2. Sensitization can cause the mother's immune system to produce antibodies against Rh antigen. 3. RhoGAM is administered to prevent antibody formation in Rh-negative mothers carrying Rh-positive infants. Summary: - A: Incorrect. No risk of sensitization as both child and fetus are Rh-negative. - B: Correct. Rh-negative mother with Rh-positive infant at risk for sensitization. - C: Incorrect. Rh factor mismatch between children doesn't require RhoGAM. - D: Incorrect. Being primipara or child's blood type doesn't warrant RhoGAM administration.
Question 2 of 5
The nurse is providing care to a child with Down syndrome. What body system has the highest risk of congenital anomaly in a child with Down syndrome?
Correct Answer: C
Rationale: The correct answer is C: Cardiovascular system. Children with Down syndrome have a high risk of congenital heart defects. This is due to the presence of an extra copy of chromosome 21, which can lead to abnormalities in heart development. The most common heart defects include atrioventricular septal defects, ventricular septal defects, and atrial septal defects. These defects can affect the structure and function of the heart, leading to potential complications. Summary: A: Reproductive system - Not typically associated with congenital anomalies in Down syndrome. B: Genitourinary system - Not typically associated with congenital anomalies in Down syndrome. D: Gastrointestinal system - While gastrointestinal anomalies can occur in children with Down syndrome, the cardiovascular system has a higher risk of congenital anomalies.
Question 3 of 5
A nurse is performing a gynecological health history interview on a 17-year-old Caucasian adolescent. The girl appears anxious and states, 'I found a lump in my left breast, and I am worried that it may be cancer.' What factors should the nurse be aware of prior to responding to this patient? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because breast fibroadenomas are indeed the most common benign breast tumor in women after puberty, typically occurring between the ages of 15 and 30. The nurse should be aware of this fact when assessing the patient's concern about the lump. Fibroadenomas are non-cancerous and do not increase the risk of breast cancer. Choice B is incorrect because fibroadenomas are more common in Caucasian women, not African American women. Choice C is incorrect because young women like the patient are generally at low risk for breast cancer. Choice D is also incorrect because fibroadenomas are not caused by cancerous conditions.
Question 4 of 5
Which are major risk factors for breast cancer? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because having a personal history of breast cancer, a family history of breast cancer in first-degree relatives, or both are major risk factors for developing breast cancer. This is due to the presence of genetic mutations that increase the likelihood of developing the disease. Choices A and B are not specific risk factors for breast cancer, although being female and increasing age are associated with higher risk. Choice D, high-fat diet and alcohol consumption, are not considered major risk factors for breast cancer.
Question 5 of 5
Which factors contribute to a woman’s perception of her body? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Sexuality. This factor contributes to a woman's perception of her body as it influences how she views herself in terms of attractiveness, desirability, and self-image. Sexuality plays a significant role in shaping body image and self-esteem. A: Role of motherhood - While motherhood can impact body image, it is not a universal factor for all women. C: Relationships at work - While work relationships can influence self-esteem, they may not directly impact body perception. D: Family and social relationships - While important, they may not directly relate to body perception as much as sexuality does. In summary, sexuality plays a crucial role in shaping a woman's perception of her body compared to the other factors listed.