Questions 54

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ATI Maternal Newborn RN Questions

Extract:

A woman diagnosed with severe fibrocystic breast disease


Question 1 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 is 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:

Four clients being reviewed for contraception options


Question 2 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 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:

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


Question 4 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:

Extract:

Young women learning about the menstrual cycle


Question 5 of 5

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

Correct Answer: Estrogen peaks during the proliferative phase, stimulating endometrial regeneration. Menstrual phase has low estrogen, ischemic phase sees declining levels, and secretory phase is dominated by progesterone.

Rationale:

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