ATI RN
Maternal Disorders Questions
Question 1 of 5
When performing a breast assessment, the nurse is inspecting the woman’s skin for which of the following? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Color. When performing a breast assessment, inspecting the skin color is important to assess for any signs of redness, bruising, or discoloration which could indicate underlying issues. Thickening (B) is assessed through palpation, not inspection. Size and symmetry (C) is evaluated by comparing the breasts visually and through measurement. Venous pattern (D) is not typically a primary focus of skin inspection during a breast assessment.
Question 2 of 5
The nurse is providing a 20-year-old woman diagnosed with fibrocystic disease with education about her condition. Which information should be included? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because pain or tenderness is not always present with fibrocystic disease. This information is important for the nurse to include when educating the patient. The other choices are incorrect because B is true - cysts are hormone-related, C describes the characteristics of fibrocystic disease, and D is false - fibrocystic disease is common in women between the ages of 30 and 50.
Question 3 of 5
A 17-year-old client presents to the clinic with concerns that she has not begun menstruating. She states that she is a gymnast and has been competing since she was 9 years old. Based on this history, what does the nurse know the client is most likely experiencing?
Correct Answer: C
Rationale: The correct answer is C: Primary amenorrhea. A 17-year-old who has not started menstruating is experiencing primary amenorrhea. This is likely due to her intense physical activity as a gymnast, which can delay the onset of menstruation. Secondary amenorrhea (A) occurs when menstruation stops after it has already begun. Polycystic ovary syndrome (B) is characterized by hormonal imbalances and ovarian cysts, not delayed onset of menstruation. Dysmenorrhea (D) refers to painful menstruation, which is not the issue in this case.
Question 4 of 5
The nurse is counseling a client on dietary recommendations for dysmenorrhea. Which statement by the client indicates understanding of the recommendations?
Correct Answer: B
Rationale: Correct Answer: B - I should avoid pretzels and potato chips. Rationale: 1. Pretzels and potato chips are high in salt, which can contribute to bloating and water retention, exacerbating dysmenorrhea symptoms. 2. Avoiding these snacks can help regulate blood sugar levels and reduce inflammation, leading to improved menstrual discomfort. 3. Choosing healthier snack options like fruits, vegetables, and whole grains can provide essential nutrients and support overall well-being. Incorrect Choices: A. Adopting a vegan diet may or may not directly impact dysmenorrhea symptoms, as it depends on the individual's specific dietary needs and nutrient intake. C. Increasing cranberry juice intake is more commonly recommended for urinary tract infections, not specifically for dysmenorrhea. D. Avoiding dairy is not a universal recommendation for dysmenorrhea, as dairy products can provide essential nutrients like calcium and vitamin D that are beneficial for overall health.
Question 5 of 5
The client calls the nurse and states she has not had a menstrual cycle in 3 months. What does the nurse know is the most common cause of secondary amenorrhea?
Correct Answer: B
Rationale: The correct answer is B: Pregnancy. In the case of secondary amenorrhea, where a woman stops menstruating after previously having regular cycles, pregnancy is the most common cause. Pregnancy leads to a halt in the menstrual cycle due to hormonal changes to support the developing fetus. Other choices are incorrect: A) Weight loss can affect menstruation but is not the most common cause of secondary amenorrhea. C) Cancer can also disrupt the menstrual cycle, but it is not the primary cause in this scenario. D) Menopause typically occurs in women in their late 40s to early 50s, and would not be the most common cause of secondary amenorrhea in a younger woman.