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: The correct answer is B: Smoking two packs of cigarettes a day. Smoking is a major risk factor for multisystem diseases like cardiac issues, gynecological issues, and cancers due to the harmful chemicals in tobacco smoke. Smoking is linked to heart disease, lung cancer, cervical cancer, and other health issues. A: Consuming two glasses of wine a week is not a significant risk factor for multisystem diseases compared to smoking. Moderate alcohol consumption may even have some health benefits. C: Having a body mass index of over 32 is a risk factor for certain health conditions like diabetes and hypertension, but it is not as directly linked to multisystem diseases as smoking. D: Having poor intake of calcium and vegetables can lead to deficiencies and certain health issues, but it is not as strongly associated with multisystem diseases as smoking.
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: Step-by-step rationale for why choice A is correct: 1. Moderately intense exercises help manage menopausal symptoms by reducing hot flashes and improving mood. 2. Exercise also helps in maintaining bone health and reducing the risk of osteoporosis. 3. Physical activity promotes overall well-being and can alleviate symptoms like weight gain and insomnia. Summary of why other choices are incorrect: B. While a balanced diet rich in calcium is important for overall health, it is not a primary component of treating menopausal symptoms. C. Alternative medicine like black cohosh may have some benefit, but evidence is inconclusive and not widely recommended. D. Over-the-counter sleep aids may help with sleep disturbances, but they do not address the holistic management of 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 used to diagnose and treat conditions like heavy uterine bleeding in cases of suspected miscarriage or incomplete abortion. It involves dilating the cervix to remove tissue from the uterus. In this scenario, the patient's positive pregnancy test and heavy bleeding suggest a possible incomplete abortion or miscarriage, making D&C appropriate. The other choices are not indicated for this situation: A (Endometrial biopsy) is used to evaluate abnormal uterine bleeding unrelated to pregnancy, C (Colposcopy) is for cervical evaluation, and D (Laparoscopy) is for abdominal and pelvic exploration, not specific to uterine bleeding.
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: The correct answer is missing from the choices provided. However, I can provide a rationale for each choice: A: Diet and exercise can help promote weight loss, which can decrease hyperandrogenemia by reducing insulin resistance and decreasing androgen levels. B: While diet and exercise can decrease the risk of type 2 diabetes and gestational diabetes in women with PCOS, this is not directly related to reducing hirsutism and acne symptoms. C: Diet and exercise can improve lipid levels and reduce cardiovascular risk in women with PCOS, but this is not the primary goal when addressing hirsutism and acne. D: Diet and exercise can improve ovulation and menstrual regularity, which may help with fertility in women with PCOS, but this is not directly related to reducing hirsutism and acne. In summary, the correct answer should focus on how diet and weight loss can specifically impact hirsutism and acne in women with PCOS.
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. Tolterodine is a medication used to treat overactive bladders by relaxing the bladder muscles, reducing urinary urgency, frequency, and urge incontinence. Improving tone and tissue in the urethral and vaginal areas can help in controlling bladder function. Choices A, C, and D are incorrect because tolterodine does not act as an appetite suppressant, facilitate weight loss, or improve blood flow to pelvic muscles to decrease urinary tract infections. The primary mechanism of action of tolterodine is related to bladder muscle relaxation rather than weight loss or blood flow improvement.