ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?
Correct Answer: B
Rationale: Step 1: Smoking two packs of cigarettes a day is a significant risk factor for multisystem disease processes due to the harmful chemicals in cigarette smoke, which can lead to cardiovascular diseases, gynecological issues, and various cancers. Step 2: The nicotine and other toxins in cigarettes can damage the heart, blood vessels, reproductive organs, and increase the risk of developing different types of cancers. Step 3: Choices A, C, and D are not as directly linked to multisystem disease processes as smoking. Consuming two glasses of wine a week may have some health benefits, a BMI over 32 is a risk factor but not as directly related to the mentioned diseases, and poor intake of calcium and vegetables may lead to deficiencies but not as significantly connected to the mentioned diseases.
Question 2 of 5
The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
Correct Answer: A
Rationale: Rationale: Moderate-intensity exercises are recommended for managing menopausal symptoms like hot flashes and mood swings by improving overall health and reducing stress. Exercise can also help with weight management and bone health. Summary: - Balanced diet with calcium (B) is important for overall health but not specific to treating menopausal symptoms. - Alternative medicine like black cohosh (C) may have limited evidence and can vary in effectiveness. - Over-the-counter sleep aids (D) may help with sleep disturbances but are not specific to managing menopausal symptoms.
Question 3 of 5
A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?
Correct Answer: B
Rationale: The correct answer is B: Dilation and curettage. This procedure is indicated for heavy uterine bleeding in the setting of a positive pregnancy test to diagnose and treat conditions such as incomplete miscarriage or ectopic pregnancy. Dilation and curettage involves dilating the cervix and scraping the uterine lining to remove any remaining products of conception. It is important in this case to rule out any potential sources of bleeding that could be life-threatening. A: Endometrial biopsy is not the appropriate initial management in this scenario as it is primarily used to assess endometrial pathology such as cancer. C: Colposcopy is a procedure used to examine the cervix and vagina for abnormalities, not typically indicated for heavy uterine bleeding in the setting of a positive pregnancy test. D: Laparoscopy is a minimally invasive surgical procedure used to view the abdominal organs, not typically indicated for uterine bleeding related to a positive pregnancy test.
Question 4 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 5 of 5
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient states that she realizes that she has put on extra weight but is reluctant to go to any exercise classes. She states that she often has to cross her legs when she sneezes and cannot do any exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What is the rationale for this medication?
Correct Answer: B
Rationale: The correct answer is B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. This medication is prescribed to treat overactive bladders and to decrease urinary frequency, urgency, and urge incontinence. The patient's symptoms of having to cross her legs when sneezing and inability to do exercises with legs crossed indicate issues with urinary incontinence. Tolterodine works by relaxing the bladder muscles and improving bladder control, which addresses the patient's symptoms. Incorrect choices: A: Tolterodine is not an appetite suppressant and does not facilitate weight loss. C: Tolterodine does not act as an appetite suppressant, so it does not facilitate weight loss. D: Tolterodine does not improve blood flow to pelvic muscles or decrease urinary tract infections.