Author Question: A woman presents to the emergency department in labor and states that she is homeless and has not ... (Read 39 times)

Haya94 · **on:** Jun 28, 2018

A woman presents to the emergency department in labor and states that she is homeless and has not had prenatal care. The emergency department nurse explains to the nursing student that homeless women face many challenges to getting prenatal care,

including which of the following?
A.
Caring for other children
B.
Fear of violence
C.
Lack of insurance
D.
Mistrust of health-care providers
E.
Transportation difficulties

Question 2

A perinatal nurse explains to the nursing student that pregnant women have risk factors for deep vein thrombosis (DVT) as a result of their pregnancy. To which components of Virchow's triad is the nurse referring?

(Select all that apply.)
A.
Dehydration
B.
Hypercoagulability
C.
Trauma to veins
D.
Vascular distention
E.
Venous stasis

ong527 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D, E
Many barriers exist that discourage homeless women from seeking prenatal care, including waiting times, lack of transportation, caring for other children, lack of family support and encouragement, concerns about having children taken away from them, and finances. Fear of violence is not a recognized risk factor for lack of prenatal care in this population.

Answer to Question 2

ANS: B, E
Virchow's triad refers to the pathophysiology of DVT. It includes hypercoagulability, venous stasis, and trauma to vessels. One or more of these factors must be present in order to develop DVT. Hypercoagulability and venous stasis are normal changes during pregnancy and increase a woman's risk of developing DVT. Vascular distension and dehydration are not part of Virchow's triad, although dehydration can lead to hypercoagulability.