Questions 54

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ATI Maternal Newborn RN Questions

Extract:

A male client recently diagnosed with genital herpes


Question 1 of 5

A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?

Correct Answer: Genital herpes causes itching, tingling, and pain before painful blisters appear. Discharge suggests gonorrhea/chlamydia, warts suggest HPV, and a chancre indicates syphilis.

Rationale:

Extract:

Four clients being reviewed for contraception options


Question 2 of 5

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives.

Correct Answer: Smoking, especially over age 35, increases cardiovascular risks with oral contraceptives, making it a contraindication. Migraines, PID history, and benign breast disease are not absolute contraindications.

Rationale:

Extract:

A client diagnosed with endometriosis


Question 3 of 5

A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

Correct Answer: Progestins are first-line for endometriosis as they suppress endometrial tissue growth and reduce pain and bleeding. Antiestrogens and GnRH analogues are second-line due to severe side effects, and NSAIDs only provide symptomatic relief.

Rationale:

Extract:

A woman diagnosed with severe fibrocystic breast disease


Question 4 of 5

A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?

Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.

Rationale:

Extract:

A female client with thick, white vaginal discharge, intense itching, and dyspareunia


Question 5 of 5

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Correct Answer: Candidiasis (yeast infection) causes thick, white, cottage cheese-like discharge, itching, and painful intercourse. Trichomoniasis causes frothy discharge, herpes causes blisters, and bacterial vaginosis causes thin, fishy-smelling discharge.

Rationale:

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