ATI RN
Maternal Disorders Questions
Question 1 of 5
When the client is started on antiretroviral drugs for HIV, what will be important for the nurse to teach the client?
Correct Answer: B
Rationale: The correct answer is B: This drug will not cure the disease but could extend your life expectancy. Antiretroviral drugs for HIV do not cure the disease but help manage it by reducing viral load and boosting immune function, extending life expectancy. Choice A is incorrect because currently, there is no cure for HIV. Choice C is incorrect as antiretroviral drugs are not used prior to vaccines but are used to treat HIV infection. Choice D is incorrect because the availability of antiretroviral drugs may vary worldwide.
Question 2 of 5
How does HPV manifest in HIV-positive clients?
Correct Answer: C
Rationale: The correct answer is C: Condylomata. HPV manifests in HIV-positive clients through the development of genital warts known as condylomata acuminata. This is a common manifestation due to the weakened immune system in HIV-positive individuals. Condylomata lata (choice B) is associated with syphilis, not HPV. Cough (choice A) is not a typical manifestation of HPV in HIV-positive clients. Chancre (choice D) is a primary lesion seen in syphilis, not HPV.
Question 3 of 5
The client receives zidovudine (Retrovir) for treatment of HIV infection. Which assessment data indicates an adverse reaction to the drug?
Correct Answer: C
Rationale: The correct answer is C: Decreased WBC count. Zidovudine is known to cause bone marrow suppression which can lead to a decrease in white blood cell count. This is an adverse reaction as it increases the risk of infections. A: Cough is not a common adverse reaction to zidovudine. B: Enlarged lymph nodes are not directly associated with zidovudine adverse reactions. D: Fever is a non-specific symptom and can occur due to various reasons, not specifically related to zidovudine. Therefore, the most concerning and relevant assessment data indicating an adverse reaction to zidovudine is a decreased white blood cell count.
Question 4 of 5
The primary fetal risk when the mother has any type of anemia is for:
Correct Answer: D
Rationale: The correct answer is D: Reduced oxygen delivery. Anemia in the mother can lead to decreased oxygen-carrying capacity in the blood, resulting in reduced oxygen delivery to the fetus. This can lead to fetal hypoxia, affecting the baby's growth and development. Neonatal anemia (choice A) is a consequence of the mother's anemia affecting the baby after birth, not the primary risk. Elevated bilirubin level (choice B) is not directly related to maternal anemia but may occur in conditions like Rh incompatibility. Limited infection defenses (choice C) is not the primary fetal risk associated with maternal anemia, although it can be a concern in severe cases due to decreased immune response.
Question 5 of 5
Reduction in congenital rubella is best accomplished by:
Correct Answer: D
Rationale: The correct answer is D because immunizing susceptible women at least 28 days before they become pregnant ensures protection against rubella during pregnancy, reducing the risk of congenital rubella syndrome in the fetus. This timing allows for the development of immunity before conception. Avoiding contact with young children (A) does not directly prevent rubella transmission to pregnant women. Taking prophylactic antibiotics during pregnancy (B) is not recommended for rubella prevention. Testing rubella titer at the first prenatal visit (C) only assesses current immunity status but does not actively prevent congenital rubella.