ATI CAPSTONE FUNDAMENTALS FINAL PAPER
EXAMPREP COMPLETE QUESTIONS AND
ANSWERS VIEW AHEAD STUDY SHEET
◉ 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.
◉ 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 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.
◉ When witnessing an informed consent the nurse must ensure that
the provider gives the client the necessary procedural information.
Identify information the provider should disclose to the client to
obtain an informed consent. What is the role of the nurse in this
process? Answer: The Provider obtains the informed consent. To do
so, the provider must give the client:
· The purpose of the procedure· A complete description of the
procedure.
· A description of the professional who will perform and participate in
the procedure.
· A description of the potential harm, pain or discomfort that might
occur.
· Options for other treatments.
· The option to refuse treatment and the consequences of doing so.
The nurse must notify the provider if the client has more questions or
appears not to understand any of the information. The provider is then
responsible for giving clarification.
EXAMPREP COMPLETE QUESTIONS AND
ANSWERS VIEW AHEAD STUDY SHEET
◉ 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.
◉ 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 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.
◉ When witnessing an informed consent the nurse must ensure that
the provider gives the client the necessary procedural information.
Identify information the provider should disclose to the client to
obtain an informed consent. What is the role of the nurse in this
process? Answer: The Provider obtains the informed consent. To do
so, the provider must give the client:
· The purpose of the procedure· A complete description of the
procedure.
· A description of the professional who will perform and participate in
the procedure.
· A description of the potential harm, pain or discomfort that might
occur.
· Options for other treatments.
· The option to refuse treatment and the consequences of doing so.
The nurse must notify the provider if the client has more questions or
appears not to understand any of the information. The provider is then
responsible for giving clarification.
