Author Question: The most important aspect of care for the nurse to remember when screening a woman for partner abuse ... (Read 82 times)

Lobcity · **on:** Jun 27, 2018

The most important aspect of care for the nurse to remember when screening a woman for partner abuse is:

1. Ensuring privacy and confidentiality.
2. Conveying warmth and empathy.
3. Asking specific, direct questions about abuse.
4. Clarifying her myths about battering

Question 2

Which maternal-child patient should the nurse see first?

1. Blood type O, Rh-negative
2. Indirect Coombs' test negative
3. Direct Coombs' test positive
4. Blood type B, Rh-positive

ApricotDream · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Any screening must be done in private, and the patient must be assured that any answers are kept confidential.
Rationale 2: Warmth and empathy are helpful, but confidentiality is more important.
Rationale 3: General questions about possible abuse both will facilitate trust building and are more likely to obtain accurate information.
Rationale 4: Clarifying myths is not essential during screening.

Answer to Question 2

3
Rationale 1: This patient is Rh-negative, but there is no indication that the alloimmunization has occurred.
Rationale 2: An indirect Coombs' test looks for Rh antibodies in the maternal serum; a negative result indicates the patient has not been alloimmunized.
Rationale 3: A direct Coombs' test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and that the baby is making anti-Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia.
Rationale 4: This patient's blood type creates no problems.