ATI RN
Maternal Disorders Questions
Question 1 of 5
Which statement is not true regarding breast reconstruction?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Breast reconstruction is not always done immediately to allow for healing post-mastectomy. 2. Immediate reconstruction may not be suitable for all patients due to various factors. 3. Delayed reconstruction is also a valid option and can be performed at a later time. 4. Therefore, the statement that breast reconstruction is always done immediately along with the mastectomy is not true. Summary: A: True - Breast reconstruction aims to promote symmetry and preserve body image. C: True - Breast reconstruction does not affect survival rates or interfere with treatments. D: True - Breast reconstruction generally has low morbidity and high patient satisfaction.
Question 2 of 5
The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B. Vaginal dryness is a common side effect of hormonal therapy. Using vaginal moisturizers like Replens or vitamin E suppositories can help alleviate this symptom by providing moisture and lubrication. This intervention can improve the woman's comfort and quality of life during treatment. Choice A is incorrect because wearing layered clothing and avoiding caffeine and spicy foods are strategies typically recommended for managing hot flashes, not vaginal dryness. Choice C is incorrect as managing nausea and vomiting with a bland diet and medication is not directly related to the management of side effects of hormonal therapy like vaginal dryness. Choice D is incorrect as warm baths and nonsteroidal analgesics are more commonly used to ease musculoskeletal symptoms, not specifically for managing vaginal dryness.
Question 3 of 5
A woman has been diagnosed with galactorrhea. Which signs and symptoms should the nurse expect to see? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Less interest in sex. Galactorrhea is the spontaneous flow of milk from the breast unassociated with childbirth or nursing. It is commonly caused by elevated levels of prolactin, which can suppress the production of sex hormones like estrogen and testosterone, leading to symptoms like decreased libido and less interest in sex. The other choices, A, B, and C, are incorrect because milky white discharge from nipples (A) is a symptom of galactorrhea, absence of menstrual periods (B) is more indicative of conditions like amenorrhea, and temperature intolerance (C) is not typically associated with galactorrhea.
Question 4 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 5 of 5
A nurse is providing preoperative teaching for a woman who is undergoing a total mastectomy. Which will this teaching include? Select all that apply.
Correct Answer: C
Rationale: Rationale for Answer C (Correct Answer): 1. Elevating the affected arm with pillows post-mastectomy helps reduce swelling and promote lymphatic drainage, aiding in preventing lymphedema. 2. By elevating the arm, it reduces strain on the surgical site and surrounding tissues, promoting comfort and aiding in the healing process. 3. This positioning also helps in preventing postoperative complications such as shoulder stiffness and contractures. Summary of Why Other Choices are Incorrect: - Choice A: While important aspects of preoperative teaching, it does not specifically address the need to elevate the affected arm post-mastectomy. - Choice B: Pain management is crucial, but it does not directly relate to the need for arm elevation post-mastectomy. - Choice D: Turning every 4 hours and coughing exercises are important for preventing complications but do not address the specific need for arm elevation post-mastectomy.