ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group. One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What is the reasoning for this rationale?
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Milky discharge from nipples. Milky discharge from nipples in a young female with no other concerning symptoms can be indicative of benign conditions such as hormonal imbalances or medication side effects. In this case, the patient's age, weight loss due to exercise, and negative mammogram are all factors that suggest a low likelihood of breast cancer. Extensive weight loss (choice B) is likely attributed to the intensive exercises mentioned and not directly correlated with breast cancer. Painful masses (choice C) could indicate an inflammatory or infection process but are not necessarily indicative of malignancy. Mood swings (choice D) are unrelated to the breast symptomatology described.
Question 3 of 5
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
Correct Answer: A
Rationale: The correct answer is A because chlamydia is a sexually transmitted infection that requires treatment for both the infected person and their partner to prevent reinfection. The recommended practice is to abstain from sex until 7 days after completing treatment to ensure the infection is fully cleared from both individuals. This approach helps to prevent the spread of the infection and reduces the risk of complications. Choice B is incorrect because simply finishing the medicine without waiting for the partner's treatment can lead to reinfection. Choice C is incorrect as it solely focuses on the partner's treatment without considering the completion of the patient's own treatment. Choice D is incorrect as it disregards the importance of completing treatment and waiting for the specified period before resuming sexual activity.
Question 4 of 5
A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?
Correct Answer: C
Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC by inhibiting the growth of the fungus. Metronidazole (choice A) is an anti-protozoal agent used for parasitic infections, not fungal infections. Penicillin G (choice B) and ampicillin (choice D) are both antibiotics used to treat bacterial infections, not fungal infections like VVC. Therefore, the nurse would expect to teach the patient about using clotrimazole to treat VVC.
Question 5 of 5
A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. In pyelonephritis, bacteria typically ascend from the lower urinary tract to the kidneys. E. coli is the most common cause due to its prevalence in the gastrointestinal tract and ability to cause urinary tract infections. Neisseria gonorrhoeae and Chlamydia trachomatis are more commonly associated with sexually transmitted infections, not pyelonephritis. Candida albicans is a fungal infection and is not a common cause of pyelonephritis.