ATI CAPSTONE POST
ASSESSMENTS WITH CORRECT
ANSWERS
The 24-year-old client inquires about use of the diaphragm for birth
control. What five (5) instructions would be provided by the nurse to
explain use of the diaphragm? - ANSWER --●A client should be
properly fitted with a diaphragm by a provider.
●Replaced every 2 years and refitted for a 20% weight fluctuation, after
abdominal or pelvic surgery, and after every pregnancy.
●Requires proper insertion and removal. Prior to coitus, the diaphragm
is inserted vaginally over the cervix with spermicidal jelly or cream that
is applied to the cervical side of the dome and around the rim. The
diaphragm can be inserted up to 6 hr before intercourse and must stay
in place 6 hr after intercourse but for no more than 24 hr.
●Spermicide must be reapplied with each act of coitus.
●A client should empty her bladder prior to insertion of the diaphragm.
●Diaphragm should be washed with mild soap and warm water after
each use.
,A pregnant client has a history of giving birth to one set of twin boys,
one term girl and 2 early spontaneous abortions. What is her gravida
and para? - ANSWER --She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant,
regardless of whether these pregnancies were carried to term. A
current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-
viable i.e. stillbirths). Pregnancies consisting of multiples, such as twins
or triplets, count as ONE birth for the purpose of this notation.
A nurse is providing care for an uncircumcised male newborn and his
mother. What information should be provided during discharge
regarding bathing of the penile area of the newborn male? -
ANSWER --To cleanse an uncircumcised penis, wash with soap
and water and rinse the penis. The foreskin should not be forced back
or constriction may result.
A nurse is providing teaching about fibrocystic breast tissue with a
client. What information will the nurse share with the client about
diagnostics used to confirm the diagnosis? - ANSWER --
Diagnostics for fibrocystic breast tissue include breast ultrasound and
fine-needle aspiration.
, A client asks the nurse how often she should get a Papanicolaou (Pap)
test. What is the correct response by the nurse to the client? -
ANSWER --21: All women begin screening for cervical cancer
21-29: Pap test every 3 years; HPV unnecessary unless needed following
an abnormalPap test
30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular screenings have been
negative; If diagnosed with cervical precancer, continue to screen
List three (3) actions by the nurse should take during the assessment
and data collection steps. - ANSWER --Recognize patterns or
trends.
Compare the data with expected standards or reference ranges.
Arrive at conclusions to guide nursing care.
A nurse is caring for an elderly client with constipation. What are three
(3) complications to monitor for during care of this client? -
ANSWER --Complications of constipation include:Fecal
impaction.Development of hemorrhoids or rectal fissures.Bradycardia,
hypotension, and syncope associated with the Valsalva maneuver
(occurs with straining/bearing down).
ASSESSMENTS WITH CORRECT
ANSWERS
The 24-year-old client inquires about use of the diaphragm for birth
control. What five (5) instructions would be provided by the nurse to
explain use of the diaphragm? - ANSWER --●A client should be
properly fitted with a diaphragm by a provider.
●Replaced every 2 years and refitted for a 20% weight fluctuation, after
abdominal or pelvic surgery, and after every pregnancy.
●Requires proper insertion and removal. Prior to coitus, the diaphragm
is inserted vaginally over the cervix with spermicidal jelly or cream that
is applied to the cervical side of the dome and around the rim. The
diaphragm can be inserted up to 6 hr before intercourse and must stay
in place 6 hr after intercourse but for no more than 24 hr.
●Spermicide must be reapplied with each act of coitus.
●A client should empty her bladder prior to insertion of the diaphragm.
●Diaphragm should be washed with mild soap and warm water after
each use.
,A pregnant client has a history of giving birth to one set of twin boys,
one term girl and 2 early spontaneous abortions. What is her gravida
and para? - ANSWER --She is gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant,
regardless of whether these pregnancies were carried to term. A
current pregnancy, if any, is included in this count.
Para indicates the number of >20 wks births (including viable and non-
viable i.e. stillbirths). Pregnancies consisting of multiples, such as twins
or triplets, count as ONE birth for the purpose of this notation.
A nurse is providing care for an uncircumcised male newborn and his
mother. What information should be provided during discharge
regarding bathing of the penile area of the newborn male? -
ANSWER --To cleanse an uncircumcised penis, wash with soap
and water and rinse the penis. The foreskin should not be forced back
or constriction may result.
A nurse is providing teaching about fibrocystic breast tissue with a
client. What information will the nurse share with the client about
diagnostics used to confirm the diagnosis? - ANSWER --
Diagnostics for fibrocystic breast tissue include breast ultrasound and
fine-needle aspiration.
, A client asks the nurse how often she should get a Papanicolaou (Pap)
test. What is the correct response by the nurse to the client? -
ANSWER --21: All women begin screening for cervical cancer
21-29: Pap test every 3 years; HPV unnecessary unless needed following
an abnormalPap test
30-65: Pap and HPV every 5 years
Older than 65: May discontinue testing if regular screenings have been
negative; If diagnosed with cervical precancer, continue to screen
List three (3) actions by the nurse should take during the assessment
and data collection steps. - ANSWER --Recognize patterns or
trends.
Compare the data with expected standards or reference ranges.
Arrive at conclusions to guide nursing care.
A nurse is caring for an elderly client with constipation. What are three
(3) complications to monitor for during care of this client? -
ANSWER --Complications of constipation include:Fecal
impaction.Development of hemorrhoids or rectal fissures.Bradycardia,
hypotension, and syncope associated with the Valsalva maneuver
(occurs with straining/bearing down).
