A nurse is working with a victim of violence. Which statement would be most appropriate to empower the victim to take action?

"Change your behavior so as not to trigger the violence."

"Remember-children do best in two-parent families."

"Give your partner more time to come around."

"You are a good person, and you deserve better than this."

Answer and Explanation

The Correct Answer is D

A. "Change your behavior so as not to trigger the violence."

This statement is victim-blaming and places the responsibility for the violence on the victim. It suggests that the victim's actions or behavior are the cause of the violence they are experiencing, which is not true. This type of response can further disempower the victim and perpetuate a cycle of abuse by implying that they have control over the perpetrator's actions.

B. "Remember-children do best in two-parent families."

This statement is not only irrelevant but also potentially harmful. It implies that the victim should prioritize maintaining the family structure over their own safety and well-being. Additionally, it disregards the fact that exposure to domestic violence can have serious negative impacts on children's emotional and psychological development. Encouraging the victim to stay in an abusive relationship for the sake of the children is not empowering and fails to address the root issue of the violence.

C. "Give your partner more time to come around."

This statement minimizes the severity of the situation and suggests that the victim should be patient and wait for the perpetrator to change their behavior. It fails to recognize that domestic violence is a pattern of coercive control and manipulation, and waiting for the perpetrator to "come around" may put the victim at further risk of harm. Encouraging the victim to wait for change also implies that they do not have the right to safety and autonomy until the perpetrator decides to change, which is not empowering.

D. "You are a good person, and you deserve better than this."

This statement acknowledges the victim's inherent worth and validates their experience of abuse. It empowers the victim to recognize that they deserve to be treated with respect and dignity, and it encourages them to take action to protect themselves and seek help. By affirming the victim's worth and agency, this statement can help build their confidence and resilience, making it more likely that they will take steps to address the violence and seek support.

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Correct Answer is B

Explanation

A. 24 hours before birth and 24 hours after birth:

This option suggests administering Rho(D) immune globulin (RhIg) both before and after birth. However, the standard recommendation is to administer RhIg at 28 weeks' gestation and again within 72 hours after birth. Administering RhIg before birth in this manner is not a standard practice for preventing Rh isoimmunization.

B. At 28 weeks' gestation and again within 72 hours after birth:

This is the correct choice. Administering RhIg at 28 weeks' gestation helps prevent sensitization of the Rh-negative mother to Rh-positive fetal blood cells that may have entered her circulation during pregnancy. Administering it again within 72 hours after birth helps prevent sensitization from any Rh-positive fetal blood cells that may have entered the mother's circulation during delivery.

C. At 32 weeks' gestation and immediately before discharge:

Administering RhIg at 32 weeks' gestation is not the standard recommendation. The standard timing is at 28 weeks' gestation to cover the critical period of sensitization during pregnancy. Administering it immediately before discharge may not provide adequate protection if sensitization has already occurred during pregnancy.

D. In the first trimester and within 2 hours of birth:

Administering RhIg in the first trimester is not a routine practice unless there is a specific indication, such as miscarriage or invasive procedures that may lead to fetal-maternal hemorrhage. Administering it within 2 hours of birth alone does not provide adequate protection against sensitization during pregnancy. The standard recommendation is to administer RhIg at 28 weeks' gestation and again within 72 hours after birth to cover the critical periods of sensitization during pregnancy and delivery.

A. Client has a twin sister. B. Her mother had preeclampsia during pregnancy. C. This is the client's second pregnancy. D. Her sister-in-law had gestational hypertension.

Correct Answer is B

Explanation

A. Client has a twin sister.

Having a twin sister does not directly increase the client's risk of developing preeclampsia. While twin pregnancies are associated with higher rates of certain complications, such as preterm birth and gestational hypertension, having a twin sister herself does not inherently increase her risk of preeclampsia.

B. Her mother had preeclampsia during pregnancy.

This is the correct choice. A history of preeclampsia in the client's mother is a significant risk factor for preeclampsia in the client herself. Preeclampsia has a genetic component, and women with a family history of the condition, especially in their mothers, are at increased risk of developing it during their own pregnancies.

C. This is the client's second pregnancy.

While the number of pregnancies a woman has experienced can influence her risk of certain pregnancy complications, such as placental abnormalities, it is not as strong a risk factor for preeclampsia as a family history of the condition. Preeclampsia can occur in both first and subsequent pregnancies, regardless of the number of pregnancies a woman has had.

D. Her sister-in-law had gestational hypertension.

Gestational hypertension is a related condition to preeclampsia and shares some risk factors, such as high blood pressure during pregnancy. However, a sister-in-law having gestational hypertension does not directly increase the client's risk of preeclampsia. While it may suggest a family predisposition to hypertensive disorders during pregnancy, it is not as specific a risk factor for preeclampsia as a direct family history of the condition, such as in the client's mother.

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A nurse is working with a victim of violence. Which statement would be most appropriate to empower the victim to take action?

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Naxlex Comprehensive Predictor Exams

It is determined that a client's blood Rh is negative and her partner's is Rh positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?

Correct Answer is B

Explanation

A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After reviewing a client's history, which factor would the nurse identify as placing her at risk for preeclampsia?

Correct Answer is B

Explanation

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