The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize?
Select one:

About 1 of every 5 women will experience abuse in her lifetime.

When women go back to the situation after the abuser has calmed down, things will be beter.

The victimized woman can easily leave the situation.

The violence will not stop or decrease if the woman becomes pregnant.

Answer and Explanation

The Correct Answer is D

Choice A Reason: About 1 of every 5 women will experience abuse in her lifetime is a statistic that shows the prevalence of domestic violence, but it does not address the question of what the nurse should emphasize to the group of women.

Choice B Reason: When women go back to the situation after the abuser has calmed down, things will be beter is a false statement that reﬂects the cycle of abuse, where the abuser may apologize and promise to change after a violent episode, but then repeat the same behavior later. This does not help the women understand their situation or seek help.

Choice C Reason: The victimized woman can easily leave the situation is a false statement that ignores the many barriers and challenges that women face when trying to escape from domestic violence, such as fear, isolation, financial dependence, lack of support, legal issues, and threats from the abuser. This does not empower the women or provide them with realistic options.

Choice D Reason: The violence will not stop or decrease if the woman becomes pregnant is a true statement that highlights the danger of staying in an abusive relationship during pregnancy. Domestic violence can increase the risk of miscarriage, preterm birth, low birth weight, placental abruption, fetal injury, and maternal death. This may motivate the women to seek safety and protection for themselves and their unborn children.

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Correct Answer is A

Explanation

Choice A Reason: "Our baby's newborn rash is from this syndrome." This is because this statement by a parent indicates that additional teaching is required, as it shows a misunderstanding or confusion about FAS and its manifestations. FAS is a condition that occurs when a woman consumes alcohol during pregnancy, which can aﬀect the development and function of various organs and systems in the fetus and child. FAS can cause physical, behavioral, and cognitive problems such as facial abnormalities, growth retardation, learning difficulties, and atention deficits. FAS does not cause newborn rash, which is a common and benign condition that aﬀects many newborns regardless of maternal alcohol intake. Newborn rash is also known as erythema toxicum neonatorum or baby acne, which is characterized by small red bumps or pustules on the face, chest, or back that usually disappear within a few weeks.

Choice B Reason: "His face looks like it does due to this problem." This is a correct answer that indicates adequate understanding of FAS and its features. Facial abnormalities are one of the characteristic signs of FAS, which include small eye openings, thin upper lip, ﬂat nasal bridge, and smooth philtrum (the groove between the nose and upper lip).

Choice C Reason: "He can show signs of withdrawal from alcohol exposure like jiteriness, sweating, hyper reﬂexes, poor feeding and not sleeping well." This is a correct answer that indicates adequate understanding of FAS and its complications. Signs of withdrawal are possible eﬀects of FAS, which occur when the fetus or newborn is exposed to alcohol in utero or through breast milk, which can cause neurotoxicity and dependency. Signs of withdrawal can include jiteriness, sweating, hyper reﬂexes, poor feeding, and not sleeping well, as well as irritability, seizures, or tremors.

Choice D Reason: "He is at risk of having intellectual disabilities, so we will need to get extra services to support him." This is a correct answer that indicates adequate understanding of FAS and its implications. Intellectual disabilities are potential outcomes of FAS, which aﬀect the cognitive development and function of the child. Intellectual disabilities can cause problems with memory, Reasoning, language, and social skills. Extra services and support may be needed to help the child achieve their optimal potential and quality of life.

A. Homans' sign. B. Chadwick's sign. C. Goodell's sign. D. McDonald's sign.

Correct Answer is C

Explanation

Choice A Reason: Homans' sign. This is an incorrect answer that refers to a diﬀerent sign that is not related to pregnancy. Homans' sign is a sign of deep vein thrombosis (DVT) that occurs when there is pain or discomfort in the calf or popliteal region when the foot is dorsiﬂexed. Homans' sign can be elicited by passive or active movement of the foot, but it is not a reliable or specific indicator of DVT.

Choice B Reason: Chadwick's sign. This is an incorrect answer that refers to a diﬀerent sign of pregnancy that aﬀects the color of the cervix, not the texture. Chadwick's sign is a sign of pregnancy that refers to the bluish or purplish discoloration of the cervix, vagina, and vulva due to increased blood ﬂow and congestion. Chadwick's sign can be observed by visual inspection of the cervix during the first prenatal visit, usually around 6 to 8 weeks of gestation.

Choice C Reason: Goodell's sign. This is because Goodell's sign is a sign of pregnancy that refers to the softening of the cervix due to increased vascularity and edema. Goodell's sign can be detected by digital examination of the cervix during the first prenatal visit, usually around 6 to 8 weeks of gestation.

Choice D Reason: McDonald's sign. This is an incorrect answer that refers to a diﬀerent sign of pregnancy that involves the angle of the uterus, not the cervix. McDonald's sign is a sign of pregnancy that refers to the ease of ﬂexing the body of the uterus against the cervix, which creates an angle of 90 degrees or less. McDonald's sign can be assessed by bimanual examination of the uterus during the first prenatal visit, usually around 7 to 8 weeks of gestation.

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The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Parents have been told their child has fetal alcohol syndrome (FAS). Which statement by a parent indicates that additional teaching is required? Select one:

Correct Answer is A

Explanation

On the first prenatal visit, the woman's cervix feels softened upon examination. The nurse records this finding as: Select one:

Correct Answer is C

Explanation

A woman is being treated for preterm labor with magnesium sulfate. Which finding by the nurse indicates magnesium sulfate toxicity? Select one:

Which of the following would be essential to implement to prevent late postpartum hemorrhage? Select one:

When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation? Select one:

Post-term fetal risks include all of the following, EXCEPT: Select one:

The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn't seem very ill. The best response of the nurse is: Select one:

Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could: Select one:

The primary factor that diﬀerentiates eclampsia from preeclampsia is: Select one:

The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize?
Select one: