ATI RN
Maternal Disorders Questions
Question 1 of 5
The nurse is providing a 20-year-old woman diagnosed with fibrocystic disease with education about her condition. Which information should be included? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because pain or tenderness is not always present with fibrocystic disease. This information is important for the nurse to include when educating the patient. The other choices are incorrect because B is true - cysts are hormone-related, C describes the characteristics of fibrocystic disease, and D is false - fibrocystic disease is common in women between the ages of 30 and 50.
Question 2 of 5
The nurse is counseling a client on dietary recommendations for dysmenorrhea. Which statement by the client indicates understanding of the recommendations?
Correct Answer: B
Rationale: Correct Answer: B - I should avoid pretzels and potato chips. Rationale: 1. Pretzels and potato chips are high in salt, which can contribute to bloating and water retention, exacerbating dysmenorrhea symptoms. 2. Avoiding these snacks can help regulate blood sugar levels and reduce inflammation, leading to improved menstrual discomfort. 3. Choosing healthier snack options like fruits, vegetables, and whole grains can provide essential nutrients and support overall well-being. Incorrect Choices: A. Adopting a vegan diet may or may not directly impact dysmenorrhea symptoms, as it depends on the individual's specific dietary needs and nutrient intake. C. Increasing cranberry juice intake is more commonly recommended for urinary tract infections, not specifically for dysmenorrhea. D. Avoiding dairy is not a universal recommendation for dysmenorrhea, as dairy products can provide essential nutrients like calcium and vitamin D that are beneficial for overall health.
Question 3 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 4 of 5
Which pharmacological preparation is the least effective in relieving symptoms of dysmenorrhea?
Correct Answer: B
Rationale: The correct answer is B: Acetaminophen. Acetaminophen is not an anti-inflammatory medication, unlike Ibuprofen and Naproxen sodium, which are more effective in reducing inflammation and pain associated with dysmenorrhea. Oral contraceptive pills (Choice C) can help regulate hormones to reduce menstrual cramps. Ibuprofen and Naproxen sodium (Choices A and D) are nonsteroidal anti-inflammatory drugs (NSAIDs) that target prostaglandins, which play a role in causing menstrual cramps. Acetaminophen, being a mild pain reliever, lacks the anti-inflammatory properties needed to effectively alleviate dysmenorrhea symptoms.
Question 5 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.