ATI RN
Maternal Disorders Questions
Question 1 of 5
Which statement by the woman indicates that she does not understand the teaching provided about postmastectomy breast reconstruction home care?
Correct Answer: B
Rationale: The correct answer is B because wearing a tight bra immediately after postmastectomy breast reconstruction is not recommended as it can restrict blood flow and cause discomfort. A is correct because avoiding trauma is important. C is correct because draining is necessary. D is correct because skin changes should be reported.
Question 2 of 5
List in order of priority the immediate postoperative mastectomy nursing actions.
Correct Answer: B
Rationale: The correct answer is B because assessing vital signs and monitoring parenteral fluids are essential postoperative nursing actions to detect any signs of complications such as hemorrhage or fluid imbalance. This prioritizes the patient's physiological stability and safety. Elevating the affected arm (A) is important for comfort but not as immediate as monitoring vital signs. Monitoring for hemorrhage (C) is crucial but comes after ensuring the patient's physiological stability. Teaching relaxation techniques (D) is important for holistic care but is not as immediate as monitoring vital signs and fluid balance.
Question 3 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 4 of 5
A woman has been diagnosed with single intraductal papilloma and has nipple discharge. Which diagnostic tests will most likely be required?
Correct Answer: D
Rationale: The correct answer is D: Ductogram. In a patient with single intraductal papilloma and nipple discharge, a ductogram is the most appropriate diagnostic test to visualize the ductal system for any abnormalities. A ductogram involves injecting contrast dye into the affected duct to identify any blockages or abnormalities. This test helps in determining the extent of the papilloma and planning appropriate treatment. Rationale for incorrect choices: A: MRI - While MRI can provide detailed images, it is not the primary test for evaluating intraductal papilloma and nipple discharge. B: Mammogram - Mammogram is used for breast imaging but may not provide detailed visualization of the ductal system. C: Core needle biopsy - While a biopsy may be needed to confirm the papilloma, it does not directly assess the ductal system for other abnormalities.
Question 5 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.