ATI RN
Maternal Disorders Questions
Question 1 of 5
The nurse is reviewing the chart of a client who is complaining of heavy bleeding with her menstrual cycles. The nurse is aware that which of the following is a possible cause?
Correct Answer: A
Rationale: The correct answer is A: Uterine fibroids. Uterine fibroids are noncancerous growths in the uterus that can lead to heavy menstrual bleeding. The nurse should consider this as a possible cause based on the client's symptoms. Incorrect Choices: B: Excessive exercise - While excessive exercise can sometimes affect menstrual cycles, it is not a common cause of heavy bleeding. C: Normal finding in pregnancy - Heavy bleeding during menstrual cycles is not a normal finding in pregnancy. D: Diet high in fat - While diet can impact overall health, a diet high in fat is not a direct cause of heavy menstrual bleeding.
Question 2 of 5
The nurse is meeting with a client who was newly diagnosed with polycystic ovary syndrome. She knows that the client has the potential for which diagnoses? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Impaired mobility. This is because polycystic ovary syndrome (PCOS) can lead to obesity and insulin resistance, which in turn can increase the risk of impaired mobility due to joint pain, reduced muscle strength, and overall decreased physical activity. The other choices are incorrect because A (Knowledge deficit) can be addressed through education, B (Disturbed body image) is more related to self-esteem and body perception issues, and C (Risk for type 2 diabetes) is a potential consequence of PCOS but not directly related to impaired mobility.
Question 3 of 5
Which is a constellation of physical and psychological symptoms beginning in the luteal phase of the menstrual cycle and followed by a symptom-free period?
Correct Answer: C
Rationale: Rationale: 1. Premenstrual syndrome (PMS) occurs in the luteal phase due to hormonal changes. 2. PMS includes physical and psychological symptoms. 3. It is followed by a symptom-free period (during menstruation). 4. Endometriosis is a separate condition involving tissue growth outside the uterus. 5. Abnormal uterine bleeding refers to irregular bleeding patterns. 6. Depression is a mental health condition not specific to the menstrual cycle. Summary: PMS is the correct answer as it aligns with the timing, symptoms, and pattern described in the question. Endometriosis, abnormal uterine bleeding, and depression do not fully match the criteria provided.
Question 4 of 5
A 58-year-old woman tells the nurse that she has started to experience pain during intercourse. The nurse should document that this woman is experiencing which of the following?
Correct Answer: B
Rationale: The correct answer is B: Dyspareunia. Dyspareunia refers to pain during or after sexual intercourse. In this case, the woman is experiencing pain during intercourse, which aligns with the definition of dyspareunia. Dyspnea (A) is difficulty breathing, dyspepsia (C) is indigestion, and dysmenorrhea (D) is painful menstruation, none of which are related to pain during intercourse.
Question 5 of 5
The nurse is preparing a 51-year-old client for a vaginal examination. The nurse should place the client in which position?
Correct Answer: C
Rationale: The correct answer is C: Lithotomy position. This position allows for optimal visualization of the vaginal area and easier access for the examination. The client lies on their back with knees flexed and feet in stirrups, providing proper exposure. Prone (A) is face down and not suitable for a vaginal exam. Lateral Sims' (B) is on the side and not ideal for this exam. High Fowler's (D) is sitting upright, which is not appropriate for a vaginal examination.