Questions 54

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ATI Maternal Newborn RN Questions

Extract:

An adolescent client with pelvic inflammatory disease from an STI


Question 1 of 5

A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?

Correct Answer: Reflecting the client's fear shows empathy and encourages further discussion. Offering to tell parents or assuming parental understanding disregards autonomy and confidentiality.

Rationale:

Extract:

A male adolescent during a well check-up


Question 2 of 5

While obtaining a health history from a male adolescent during a good check-up, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What statement would the nurse include in the teaching plan?

Correct Answer: Applying a condom before genital contact prevents STI and pregnancy transmission. Wallets damage condoms, petroleum jelly weakens latex, and reusing condoms increases infection risk.

Rationale:

Extract:

A client receiving Ringer's lactate at 120 mL/hr with a drop factor of 10 gtt/mL


Question 3 of 5

A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: Using the formula gtt/min = (mL/hr x drop factor) / 60, calculate: (120 x 10) / 60 = 20 gtt/min.

Rationale:

Extract:

Four clients being reviewed for contraception options


Question 4 of 5

A nurse is reviewing contraception options for four clients. The nurse should identify 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 14-year-old client discussing contraception


Question 5 of 5

A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?

Correct Answer: Referring to a provider ensures personalized advice after assessing health and needs. Judgmental or assumptive responses can deter adolescents from seeking care, and probing sexual activity may violate privacy.

Rationale:

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