ATI RN
Maternal Disorders Questions
Question 1 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 2 of 5
The nurse is reviewing the chart of a client who is complaining of heavy bleeding with her menstrual cycles. The nurse is aware that which of the following is a possible cause?
Correct Answer: A
Rationale: The correct answer is A: Uterine fibroids. Uterine fibroids are noncancerous growths in the uterus that can lead to heavy menstrual bleeding. The nurse should consider this as a possible cause based on the client's symptoms. Incorrect Choices: B: Excessive exercise - While excessive exercise can sometimes affect menstrual cycles, it is not a common cause of heavy bleeding. C: Normal finding in pregnancy - Heavy bleeding during menstrual cycles is not a normal finding in pregnancy. D: Diet high in fat - While diet can impact overall health, a diet high in fat is not a direct cause of heavy menstrual bleeding.
Question 3 of 5
A 60-year-old client with a palpable mass to the right adnexa and family history of ovarian cancer is seen by the HCP. The nurse anticipates the order for which of the following laboratory results?
Correct Answer: C
Rationale: The correct answer is C: CA-125. This tumor marker is used to assess for ovarian cancer in high-risk individuals. The client's age, palpable mass, and family history of ovarian cancer raise suspicion for malignancy. A CBC (choice A) and blood glucose (choice B) are not specific to ovarian cancer evaluation. FSH and LH (choice D) are hormone levels that do not directly assess for ovarian cancer. Therefore, CA-125 is the most appropriate lab test to anticipate in this scenario.
Question 4 of 5
The nurse is meeting with a client who was newly diagnosed with polycystic ovary syndrome. She knows that the client has the potential for which diagnoses? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Impaired mobility. This is because polycystic ovary syndrome (PCOS) can lead to obesity and insulin resistance, which in turn can increase the risk of impaired mobility due to joint pain, reduced muscle strength, and overall decreased physical activity. The other choices are incorrect because A (Knowledge deficit) can be addressed through education, B (Disturbed body image) is more related to self-esteem and body perception issues, and C (Risk for type 2 diabetes) is a potential consequence of PCOS but not directly related to impaired mobility.
Question 5 of 5
Which is a constellation of physical and psychological symptoms beginning in the luteal phase of the menstrual cycle and followed by a symptom-free period?
Correct Answer: C
Rationale: Rationale: 1. Premenstrual syndrome (PMS) occurs in the luteal phase due to hormonal changes. 2. PMS includes physical and psychological symptoms. 3. It is followed by a symptom-free period (during menstruation). 4. Endometriosis is a separate condition involving tissue growth outside the uterus. 5. Abnormal uterine bleeding refers to irregular bleeding patterns. 6. Depression is a mental health condition not specific to the menstrual cycle. Summary: PMS is the correct answer as it aligns with the timing, symptoms, and pattern described in the question. Endometriosis, abnormal uterine bleeding, and depression do not fully match the criteria provided.