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1. A pregnant client She is gravida 4, Para 2
has a history of Gravida indicates the number of times the mother has been pregnant, regardless
giving birth to of whether these pregnancies were carried to term. A current pregnancy, if any, is
one set of twin included in this count.
boys, one term Para indicates the number of >20 wks births (including viable and non-viable i.e.
girl and 2 ear- stillbirths). Pregnancies consisting of multiples, such as twins or triplets, count as
ly spontaneous ONE birth for the purpose of this notation.
abortions. What
is her gravida and
para?
2. A nurse is pro- To cleanse an uncircumcised penis, wash with soap and water and rinse the penis.
viding care for The foreskin should not be forced back or constriction may result.
an uncircumcised
male newborn
and his moth-
er. What infor-
mation should
be provided dur-
ing discharge re-
garding bathing
of the penile area
of the newborn
male?
3. The 24-year-old AÏ client should be properly fitted with a diaphragm by a provider.
client inquires ÏReplaced every 2 years and refitted for a 20% weight fluctuation, after abdominal
about use of or pelvic surgery, and after every pregnancy.
the diaphragm ÏRequires proper insertion and removal. Prior to coitus, the diaphragm is inserted
for birth control. vaginally over the cervix with spermicidal jelly or cream that is applied to the cervical
What five (5) in- side of the dome and around the rim. The diaphragm can be inserted up to 6 hr
structions would before intercourse and must stay in place 6 hr after intercourse but for no more
, ATI Capstone Post Assessments
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be provided by than 24 hr.
the nurse to ex- ÏSpermicide must be reapplied with each act of coitus.
plain use of the ÏA client should empty her bladder prior to insertion of the diaphragm.
diaphragm? ÏDiaphragm should be washed with mild soap and warm water after each use.
4. A nurse is pro- Diagnostics for fibrocystic breast tissue include breast ultrasound and fine-needle
viding teaching aspiration.
about fibrocystic
breast tissue with
a client. What in-
formation will the
nurse share with
the client about
diagnostics used
to confirm the di-
agnosis?
5. A client asks the 21: All women begin screening for cervical cancer
nurse how of- 21-29: Pap test every 3 years; HPV unnecessary unless needed following an abnor-
ten she should malPap test
get a Papanico- 30-65: Pap and HPV every 5 years
laou (Pap) test. Older than 65: May discontinue testing if regular screenings have been negative;
What is the cor- If diagnosed with cervical precancer, continue to screen
rect response by
the nurse to the
client?
6. List three (3) ac- Recognize patterns or trends.
tions by the nurse Compare the data with expected standards or reference ranges.
should take dur- Arrive at conclusions to guide nursing care.
ing the assess-
, ATI Capstone Post Assessments
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ment and data
collection steps.
7. When witness- The Provider obtains the informed consent. To do so, the provider must give the
ing an in- client:
formed consent · The purpose of the procedure· A complete description of the procedure.
the nurse must · A description of the professional who will perform and participate in the proce-
ensure that the dure.
provider gives · A description of the potential harm, pain or discomfort that might occur.
the client the nec- · Options for other treatments.
essary procedur- · The option to refuse treatment and the consequences of doing so. The nurse must
al information. notify the provider if the client has more questions or appears not to understand
Identify informa- any of the information. The provider is then responsible for giving clarification.
tion the provider
should disclose
to the client to
obtain an in-
formed consent.
What is the role
of the nurse in
this process?
8. Discuss passive Passive: Antibodies are produced by an external source. Temporary immunity that
and active immu- does not have memory of past exposures. Intact skin, the body's first line of de-
nity. fense. Mucous membranes, secretions, enzymes, phagocytic cells, and protective
proteins. Inflammatory response with phagocytic cells, the complement system, a
nd interferons to localize the invasion and prevent its spreadActive: Antibodies are p
roduced in response to an antigen. Requires time to react to antigens. Provides p
ermanent immunity. Involves B- and T-lymphocytes. Produces specific antibodies a
gainst specific antigens (immunoglobulins [IgA, IgD, IgE, IgG, IgM])
9.