ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
Correct Answer: B
Rationale: For female patients, the classic symptom of a myocardial infarction (MI) is often different from that in male patients. While chest pain that radiates to the right arm and jaw is a common symptom in male patients, female patients may present with more subtle symptoms. Episodic nausea/indigestion and palpitations are more commonly seen in female patients experiencing a myocardial infarction. It is important for healthcare providers to recognize and consider these atypical symptoms in female patients to ensure timely diagnosis and treatment.
Question 2 of 5
The nurse is providing care to the 35-year-old female patient at the family practice clinic who is in the office for her annual physical examination. Which tests should the nurse recommend are the most appropriate for this patient? Select all that apply.
Correct Answer: A
Rationale: In this scenario, the most appropriate test to recommend for the 35-year-old female patient during her annual physical examination is the Papanicolaou (Pap) test every 5 years. The Pap test is a crucial screening tool for cervical cancer and is recommended for women starting at the age of 21. It helps detect any abnormal changes in the cervix early on, allowing for timely intervention and treatment. The other options provided are not the most suitable for this patient based on current guidelines and recommendations. A mammogram every 2 years is typically recommended for women aged 50 and older, unless there are specific risk factors present. DEXA screening every 2 years is recommended for postmenopausal women or those at higher risk for osteoporosis, not necessarily for a 35-year-old female. HPV testing every 5 years is usually recommended for women aged 30 and older in conjunction with the Pap test, not as a standalone test for this patient's age group. It's crucial for nurses to stay updated on evidence-based guidelines for screening tests and assessments based on age, risk factors, and guidelines from organizations like the CDC and USPSTF. Providing accurate and timely recommendations for screening tests is essential in promoting women's health and well-being.
Question 3 of 5
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
Correct Answer: A
Rationale: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age that can present with a variety of symptoms. Common symptoms of PCOS include irregular menstrual cycles, weight gain, acne, excessive hair growth, and infertility. Therefore, interventions that may correlate with these common symptoms can include lifestyle modifications like weight management, exercise, dietary changes, hormonal medications to regulate menstrual cycles, and fertility treatments if conception is desired. Treating the symptoms can help improve the patient's quality of life and overall health outcomes.
Question 4 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 5 of 5
The nurse is assessing a 64-year-old female patient. The patient states that she is able to reduce the risk of urinary tract infections (UTIs) by drinking a quart of cranberry juice a day. Which health condition, if present in this patient, contraindicates the use of cranberry juice?
Correct Answer: C
Rationale: Cranberry juice has the potential to interact with warfarin, a common blood thinner prescribed for conditions such as atrial fibrillation. Cranberry juice contains components that can inhibit the metabolism of warfarin in the body, leading to an increased risk of bleeding. Therefore, patients taking warfarin should avoid or limit their intake of cranberry juice to prevent potential negative interactions. In this case, the patient's use of warfarin to manage atrial fibrillation contraindicates the consumption of cranberry juice in large quantities. It is essential to consult a healthcare provider before making any changes to the diet, especially when taking medications that may interact with certain foods or beverages.