Which findings would cause the nurse to suspect physical abuse in a pregnant client?
a. The client has a history of sexually transmitted infections.
b. The client has a mother who was physically abused.
c. The client has a partner who accompanies her to all prenatal visits.
d. Multiple bruis...
NUR 313 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
Which findings would cause the nurse to suspect physical abuse in a pregnant client?
a. The client has a history of sexually transmitted infections.
b. The client has a mother who was physically abused.
c. The client has a partner who accompanies her to all prenatal visits.
d. Multiple bruises in various stages of healing are found on physical examination. ✅D
- The other options may have nothing at all to do with being currently abused.
A woman presents to a healthcare clinic complaining of a lump in her breast. Which
finding is highly suggestive of breast cancer?
a. Pain in her breasts bilaterally prior to menses
b. Newly retracted right nipple
c. Left breast larger than the right
d. Milky discharge expressed from both breasts ✅B
- Unilateral is concerning.
- Bilateral pain prior to menses is consistent with fibrocystic changes (benign).
- One breast larger than the other is normal, and usually these differences correct
themselves after puberty.
- Milky discharge occurs with pregnancy, lactation, and when you have high prolactin
levels.
When describing an episode of IPV, a victim reports that she attempted to calm her
partner down to keep things from escalating. This behavior reflects which phase of the
cycle of violence?
a. Battering
b. Tension building
c. Honeymoon
d. Reconciliation ✅B
- Reconciliation is after the honeymoon phase when you realize staying with this person
will probably mean more abuse in the future, and adjusting to this change in your
relationship.
- Battering is the period of actual violence.
- Honeymoon is the period after an act of violence when the abuser promises to never
do it again.
, Documentation of abuse can be useful to women later in court, should they elect to
press charges. It is of key importance for the nurse to document accurately at the time
that the patient is seen. Which entry into the medical record would be the LEAST helpful
to the court?
a. Photographs of injuries
b. Summary of the information in the notes...The client is a victim of sexual and physical
abuse.
c. Clear and concise documentation of the event with quotes from the client.
d. Accurate description of the client's demeanor...The client is crying and guarding her
abdomen. ✅B
- This is making a judgment rather than detailing what you see; instead document what
the client said and her behavior.
- This doesn't explain anything about the situation other than stating that their is one.
- Documentation MUST include pictures, detailed explanation of type of abuse, first time
it happened, worst time it happened, and most recent time it happened.
A battered pregnant woman reports to the nurse that her husband has stopped hitting
her and promises to never hurt her again. Which of the following is an appropriate and
accurate response?
a. "That's great, I wish you both the best."
b. "You need to consider leaving him."
c. "He probably didn't mean to hurt you."
d. "The cycle of violence often repeats itself." ✅D
- This is the honeymoon phase.
- Violence may either decrease or increase during pregnancy, but it is not accurate to
say that violence will decrease or stop during pregnancy.
- She should consider leaving, but leaving is the most dangerous time period for the
abused individual, therefore it may not be good to try to leave while pregnant. Plus it is
insensitive to say this right now. If she is considering leaving, however, help her make a
plan to safely get out (exit plan).
The nurse is interviewing a client directly after a battering and rape incident with her
husband. The most therapeutic response by the nurse is:
a. "The sexual assault nurse will be in shortly to examine you."
b. "I believe you."
c. "How long has the abuse been going on?"
d. What are your husband's triggers for assault?" ✅B
- The most reassuring thing for the client directly after an incidence of violence is to be
believed.
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