ATI RN
ATI Maternal Newborn RN Questions
Extract:
A female client with thick, white vaginal discharge, intense itching, and dyspareunia
Question 1 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:
A client postoperative following a simple mastectomy
Question 2 of 5
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
Correct Answer: Avoiding heat prevents increased inflammation in the irradiated area. Antibiotic ointments and lotions may interfere with therapy, and gentle washing with mild soap is recommended.
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 13-year-old girl
Question 4 of 5
The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first?
Correct Answer: Breast bud development (thelarche) is typically the first pubertal event in girls, occurring between 8-12 years, driven by estrogen.
Rationale:
Extract:
A woman with pelvic organ prolapse
Question 5 of 5
A nurse is reading a journal article about the care of a woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? Select all that apply.
Correct Answer: Pelvic organ prolapse includes rectocele, urinary incontinence, cystocele, and enterocele due to weakened pelvic support. Fecal incontinence is unrelated to organ displacement.
Rationale: