The nurse has completed the physical assessment of a client in ...

[burchfield96]

The nurse has completed the physical assessment of a client in early labor, and proceeds with the social assessment.
 
  A social history of the client would include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Use of drugs and alcohol
  2. Family violence or sexual assault
  3. Current living situation
  4. Type of insurance
  5. Availability of resources

Question 2

A mother and her newborn are being discharged 2 days after delivery. The general discharge instructions provided by the nurse include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Always place the infant in a supine position in the crib.
  2. Support the infant's head when carrying for the first week or two.
  3. Do not allow the baby to fall asleep in someone's arms.
  4. Do not cover the cord stump with a bandage.
  5. Use a bulb syringe to suction mucus from the infant's nostrils as necessary.

[bpool94]

Answer to Question 1

1, 2, 3, 5
Explanation: 1. Risk factors such as the use of drugs or alcohol during the pregnancy can influence the labor and birth.
2. It is imperative to ask the woman about domestic violence and to assess any degree of psychologic or physical harm, either potential or real.
3. A social assessment includes asking about the woman's current living situation. This dialog provides an opportunity for the nurse to continue to build support, to provide information when requested, and to be direct yet supportive.
5. A social assessment includes asking about resources available to the family.

Answer to Question 2

1,5
Rationale 1: The supine position is the optimal position for reducing the risk of SIDS in infants younger than 6 months.
Rationale 2: The infant cannot consistently support its own head until 3 or 4 months of age.
Rationale 3: The infant should sleep on the back in the crib or in someone's arms.
Rationale 4: Bandages should not be applied to the cord stump. Air-drying is best.
Rationale 5: Newborns have increased mucus, which can be removed with gentle suctioning with a bulb syringe.