ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
Correct Answer: A
Rationale: The correct answer is A) The blood pressure (BP) cuff should not be applied to the affected arm. This practice is crucial post-mastectomy to prevent lymphedema, a common complication where the lymphatic system is compromised, leading to swelling and pain. Placing the BP cuff on the affected arm can impede lymphatic flow, increasing the risk of lymphedema. Option B) Venipuncture for blood work should not be performed on the affected arm to avoid trauma to the delicate lymphatic system, reducing the risk of lymphedema. Option C) Using the affected arm for intravenous (IV) therapy should be avoided as it can disrupt lymphatic flow and increase the chances of lymphedema development. Option D) Holding the affected arm down close to the woman's side is inappropriate as it can also interfere with lymphatic drainage. Educationally, understanding these postoperative care practices is vital for nurses caring for women post-mastectomy to ensure optimal outcomes and prevent complications. Nurses must have a comprehensive understanding of the unique needs of these patients to provide safe and effective care.
Question 2 of 5
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
Correct Answer: A
Rationale: In the context of early breast cancer treatment, the most conservative approach involves a lumpectomy followed by radiation therapy. This combination aims to remove the cancerous tumor while preserving as much of the breast tissue as possible. Option A, radiation therapy, is the correct choice because it helps to target any remaining cancer cells in the breast area after the lumpectomy, reducing the risk of cancer recurrence. Options B, C, and D are incorrect in this scenario as they refer to adjuvant systemic therapy, hormonal therapy, and chemotherapy, respectively. While these treatments may be used in breast cancer management, they are typically not the immediate follow-up to a lumpectomy in early-stage cases. Adjuvant systemic therapy, hormonal therapy, and chemotherapy are usually reserved for more advanced stages of breast cancer or cases where the cancer has spread beyond the breast tissue. In an educational context, understanding the sequence of treatments in breast cancer management is crucial for healthcare providers, especially those specializing in maternal newborn nursing. This knowledge ensures appropriate care planning and support for patients undergoing breast cancer treatment, ultimately improving outcomes and quality of care.
Question 3 of 5
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
Correct Answer: B
Rationale: In maternal newborn nursing, understanding the use of a pessary is crucial for managing certain disorders. The correct answer is B) Uterine prolapse. A pessary is a device inserted into the vagina to support pelvic organs such as the uterus in cases of prolapse. This mechanical support helps alleviate symptoms and can prevent further descent of the uterus. Option A) Cystocele involves the descent of the bladder into the vaginal wall, which may require a different type of intervention such as pelvic floor exercises or surgery, not typically managed with a pessary. Option C) Rectocele is the bulging of the rectum into the back wall of the vagina. Management usually involves lifestyle modifications, pelvic floor exercises, or surgery, but not typically a pessary. Option D) Stress urinary incontinence is the involuntary leakage of urine with physical activity. While a pessary may provide some support to the urethra, it is not the primary treatment for this condition. Behavioral therapies, pelvic floor exercises, or surgery are more commonly used for stress urinary incontinence. In the context of maternal newborn nursing, understanding the appropriate use of interventions like pessaries is essential for providing comprehensive care to women experiencing pelvic organ prolapse. Nurses need to be knowledgeable about the indications, contraindications, and management strategies associated with different pelvic floor disorders to ensure optimal outcomes for their patients.
Question 4 of 5
The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
Correct Answer: C
Rationale: To maintain good nutrition, the woman should eat high-protein meals or use protein supplements and should have a high daily fluid intake of 2 to 3 L. The woman is counseled about good skin care and taught to avoid soaps, ointments, cosmetics, and deodorants because these may contain metals that would alter the radiation dose she receives.
Question 5 of 5
When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders?
Correct Answer: C
Rationale: The correct answer is option C) Risk for injury, related to lack of skill for self-care, as the nursing diagnosis does not directly address the psychological impact of neoplasms on the reproductive system. Option A) Anxiety related to surgical procedures addresses the emotional distress related to the procedures involved in managing neoplasms. Option B) Disturbed body image as a result of changes in anatomy focuses on the impact of physical changes on body image and self-esteem, which are psychological aspects. Option D) Interrupted family processes considers the potential disruptions within the family unit due to the diagnosis and treatment of neoplasms, which involve psychological and emotional components related to family dynamics. In educational context, it is important for nurses to assess not only the physical but also the psychosocial aspects of clients with neoplasms. Understanding the psychological impact of these disorders is crucial for providing holistic care and addressing the emotional needs of the clients. By identifying the correct nursing diagnosis that encompasses both physical and psychological aspects, nurses can develop effective care plans that promote the overall well-being of clients with neoplasms of the reproductive system.