A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?

Reassure the child that no one will be told about the abuse.

Use leading statements to obtain information from the child.

Explain to the child what will happen when the abuse is reported.

Ensure that multiple nurses are present for the physical examination.

Answer and Explanation

The Correct Answer is C

A.   The nurse must not promise confidentiality when abuse is suspected. Reporting is required by law, and the child should be informed of this.
B.   Leading statements can influence the child’s response and should be avoided to ensure that information is accurately obtained.
C.   Explaining the process to the child ensures that the child understands what will happen and can help alleviate anxiety about the situation.
D.   While a supportive environment is important, the presence of multiple nurses during the physical examination could make the child feel uncomfortable. One nurse should be present to provide care and comfort.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Fibromyalgia is not a contraindication for combination oral contraceptives.
B. Fibrocystic breast disease is not a contraindication, though it may require monitoring.
C. Renal calculi are not a contraindication for oral contraceptive use.
D. Hypertension is a contraindication because it increases the risk of cardiovascular complications when using combination oral contraceptives.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Explanation

The nurse should recognize that the client is experiencing preterm labor due toprevious preterm birth.

Rationale

Option 1: Preterm labor

The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular

uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.

Option 2: Previous Preterm Birth

The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.

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A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?

Correct Answer is D

Explanation

Complete the following sentence by using the list of options. The nurse should recognize the client is experiencing dropdowndue todropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Explanation

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