At a prenatal visit, a primigravida client confides to the nurse that her partner is abusive. Which information should the nurse provide?

Safety plan to keep in a purse at all times.

Paperwork needed to file a restraining order.

Visit summary documenting the report of abuse.

Contact information for a women's shelter.

Answer and Explanation

The Correct Answer is D

A. Safety plan to keep in a purse at all times: While a safety plan is important, the nurse should focus on providing immediate resources and support to help the client feel safe and ensure access to a safe environment. A safety plan can be discussed later as part of ongoing support.

B. Paperwork needed to file a restraining order: Filing for a restraining order is a legal process, and while it may be important, it should not be the nurse's immediate priority. The client needs more immediate emotional and practical support.

C. Visit summary documenting the report of abuse: While documentation of the abuse is necessary for medical and legal purposes, the nurse's immediate priority should be to provide support and resources to help the client find safety.

D. Contact information for a women's shelter: Providing the client with contact information for a women's shelter is a crucial step in offering immediate support and resources. Shelters can provide a safe place to go and access to counseling or other resources for dealing with abuse.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","G","H"]

Explanation

A. The temperature taken at home is 99.0° F (37.2° C): A normal temperature of 99.0°F indicates that the fever associated with mastitis has resolved from he initial 38.4° C, suggesting that the infection has been treated successfully.

B. The infant is breastfeeding every 2 to 3 hours for 20 minutes in a variety of positions:
Regular breastfeeding every 2-3 hours for 20 minutes helps ensure proper drainage of the breast, which is essential for preventing mastitis recurrence. Using various positions encourages effective drainage of milk from all areas of the breast.

C. After a feeding, the nipple is creased: A creased nipple suggests a potential problem with latching, which may cause pain or nipple damage. It is not indicative of mastitis resolution or proper breastfeeding management.

D. The infant continues to want to nurse all the time: Increased demand for nursing could indicate a growth spurt or an ineffective milk transfer, which doesn’t directly confirm that mastitis has been resolved. It shows breastfeeding might need to be reassessed.

E. Pain during feeding lasts for 10 of the 20 minutes of the feed: Persistent pain during feeding may indicate an improper latch, nipple trauma, or other issues, and is not a sign that mastitis has resolved. This requires evaluation of breastfeeding technique.

F. Pumping continues on the right side instead of breastfeeding on that side: Pumping rather than breastfeeding may suggest that the patient is avoiding breastfeeding from the affected breast due to pain or discomfort. It does not confirm that mastitis has been fully resolved.

G. The red area on her right breast has resolved: The red area in the breast, a key symptom of mastitis, resolving suggests that the infection has improved and that the inflammation is subsiding. This is a clear indicator that the mastitis has resolved.

H. The feelings of fatigue continue, but there are no chills, achiness, or dizziness: Fatigue can persist in the postpartum period, but the absence of chills, achiness, or dizziness indicates that the mastitis infection has resolved and the systemic symptoms are no longer present.

Correct Answer is []

Explanation

Rationale
Potential Condition: Menorrhagia is defined as abnormally heavy or prolonged menstrual bleeding. The client's report of heavier-than-usual bleeding, longer periods, and associated fatigue and increased pain are hallmark signs. Menorrhagia can lead to iron-deficiency anemia and may be caused by hormonal imbalance, uterine fibroids, or bleeding disorders.

Actions to Take

Test for anemia: Heavy menstrual bleeding increases the risk for anemia, especially with symptoms of fatigue. A CBC will help assess hemoglobin and hematocrit levels.
Ask the client about contraceptive use: Hormonal contraceptives can influence menstrual bleeding patterns and may also be used as part of the management plan for menorrhagia.

Parameters to Monitor

Frequency and duration of menstrual cycle: Tracking these helps evaluate the severity of bleeding and response to treatment.
Hemoglobin and hematocrit: These labs monitor for blood loss–related anemia and help guide treatment such as iron supplementation or further investigation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

At a prenatal visit, a primigravida client confides to the nurse that her partner is abusive. Which information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which description(s) by the client should help confirm that the mastitis has been resolved and breastfeeding/breast health is well maintained? Select all that apply.

Correct Answer is ["A","B","G","H"]

Explanation

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer is []

Explanation

A client delivers a viable infant but begins to have excessive uncontrolled vaginal bleeding after the IV oxytocin is infused. When notifying the healthcare provider of the client's condition, which information is most important for the nurse to provide?

Which is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?

Which should be the primary focus of nursing care in the active phase of labor for a client who anticipates an unmedicated delivery?

Which assessment finding should the nurse expect when palpating the fundus immediately after delivery?

Exhibits The nurse reviews the standing prescriptions for laboring mothers and determines the best plan of care. Which intervention(s) would the nurse initiate? Select all that apply.

A premenopausal client with uterine leiomyomas (fibroids) reports to the clinic nurse that her menstrual bleeding has increased in volume and duration. Which assessment should the nurse perform first?