ATI RN
Maternal Disorders Questions
Question 1 of 5
Which are risk factors for ovarian cancer? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Three or more children. Multiparity (having three or more children) has been identified as a protective factor against ovarian cancer due to the repeated ovulation and hormonal changes during pregnancy. A: Talc use on the perineum is not a well-established risk factor. B: Having a first-degree relative with ovarian cancer increases the risk, but it is not as significant as having multiple children. D: High-fat diet has been suggested as a risk factor, but the evidence is not as strong as the protective effect of multiparity.
Question 2 of 5
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B because it is incorrect. Chlamydia can be spread by individuals who are asymptomatic, so the statement that individuals can only spread it if symptomatic is inaccurate. Asymptomatic individuals can still transmit the infection to others. Therefore, this statement indicates a need for further instruction. Choices A, C, and D are all correct statements. Treatment is necessary for asymptomatic individuals to prevent complications, pregnant women should be screened for chlamydia to prevent transmission to the baby, and any sexually active individuals can indeed be infected with chlamydia.
Question 3 of 5
A client is being treated for gonorrhea. Which medication combination should the nurse expect to be prescribed?
Correct Answer: A
Rationale: The correct answer is A: Ceftriaxone and azithromycin. Ceftriaxone is the first-line treatment for gonorrhea due to increasing resistance to other antibiotics. Azithromycin is often prescribed in combination to treat possible co-infection with chlamydia. Penicillin (B) is not effective against gonorrhea. Tetracycline (C) is not recommended due to resistance issues. Levofloxacin (D) is no longer recommended due to resistance concerns. The combination of ceftriaxone and azithromycin covers both gonorrhea and possible chlamydia co-infection effectively.
Question 4 of 5
A male client reports painful urination and a creamy yellow drainage from the urethra. During the assessment, he admits to having unprotected sex. With which STI does the nurse associate these clinical manifestations?
Correct Answer: D
Rationale: The correct answer is D: Gonorrhea. Painful urination and yellow discharge from the urethra are classic symptoms of gonorrhea, a bacterial sexually transmitted infection (STI). Gonorrhea is commonly transmitted through unprotected sexual contact. The creamy yellow discharge is a key indicator of gonorrhea infection. The other choices are incorrect because: A: Candidiasis typically presents with white, cottage cheese-like discharge and itching, not yellow discharge or painful urination. B: HPV does not cause painful urination or discharge from the urethra; it usually presents with genital warts or abnormal pap smears. C: Trichomoniasis may cause green, frothy discharge and discomfort, but not creamy yellow discharge or painful urination.
Question 5 of 5
A client comes to a community clinic after being informed by a sexual partner of possible recent exposure to syphilis. The nurse will examine the client for which clinical manifestation of syphilis in the primary stage?
Correct Answer: A
Rationale: The correct answer is A: Chancre. In the primary stage of syphilis, a painless, firm, and non-itchy sore called a chancre appears at the site of infection. This sore can develop within 3 weeks of exposure to the bacteria. It is important for the nurse to examine the client for chancres as they are a hallmark sign of primary syphilis. B: A copper-colored rash involving the trunk and extremities is seen in the secondary stage of syphilis, not the primary stage. C: Flulike symptoms may occur in the primary stage but are not specific to syphilis. D: Condyloma lata are wart-like growths seen in secondary syphilis, not the primary stage. Therefore, the presence of a chancre is the key clinical manifestation to identify in the primary stage of syphilis.