ATI RN
Maternal Disorders Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is assessing a client who has a suspected cystocele. Which signs and symptoms should the nurse expect? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Irregular vaginal bleeding. A cystocele is a condition where the bladder protrudes into the vagina. This can cause pressure on surrounding tissues and lead to irregular vaginal bleeding. A, B, and C are incorrect as they are more commonly associated with other conditions such as urinary tract infections (A), pelvic organ prolapse (B), and urinary incontinence (C). Irregular vaginal bleeding is a key sign specific to cystocele due to the physical displacement of organs.
Question 4 of 5
The nurse has completed instructions on ways to improve the client’s symptoms related to her rectocele. Which statement by the client indicates a need for further education?
Correct Answer: C
Rationale: In this scenario, option C, "Heavy lifting will not affect my rectocele," is the correct answer that indicates a need for further education. The rationale behind this is that heavy lifting can indeed exacerbate the symptoms of a rectocele by putting increased pressure on the weakened pelvic floor muscles, potentially worsening the condition. Option A is incorrect because weight loss can help alleviate symptoms by reducing pressure on the pelvic floor, which is beneficial for managing rectocele. Option B is also incorrect as increasing fiber and water intake can aid in preventing constipation, which is essential for rectocele management. Option D is a valid statement as Kegel exercises are effective in strengthening the pelvic floor muscles, thereby improving symptoms of a rectocele. From an educational standpoint, it is crucial for the nurse to emphasize the importance of avoiding heavy lifting to prevent worsening of rectocele symptoms. Patients need to understand the impact of lifestyle modifications, such as weight management, dietary changes, and appropriate exercises, in managing their condition effectively. This rationale highlights the significance of patient education in promoting self-care and improving outcomes for individuals with maternal disorders like rectocele.
Question 5 of 5
The nurse is teaching a sex education class to teenage girls. The nurse informs them that which age group should receive a vaccination to prevent HPV infection?
Correct Answer: C
Rationale: The correct answer is C (9-26) because the HPV vaccine is recommended for both males and females between the ages of 9 and 26. Vaccination at a younger age provides the best protection before exposure to the virus. Choices A, B, and D include age ranges outside the recommended vaccination window, making them incorrect options.