Special Populations & Vulnerable Groups in Corrections Flashcards
7 cards from real CCN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Special Populations & Vulnerable Groups in Corrections flashcards as text
A pregnant inmate at 28 weeks gestation reports decreased fetal movement for the past 24 hours. What is the nurse's priority action?
Answer: Arrange immediate medical evaluation including a non-stress test
Decreased fetal movement for 24 hours in the third trimester warrants immediate evaluation with a non-stress test to assess fetal well-being, as it may indicate fetal compromise.
Which components are essential in the initial health assessment for a newly incarcerated pregnant woman?
Answer: Determination of gestational age, obstetric history, and prior prenatal care received
The initial assessment for a pregnant inmate must establish gestational age, obstetric history, and prior prenatal care to guide appropriate care planning and risk stratification.
According to NCCHC standards, what housing accommodation is required for pregnant inmates in their third trimester?
Answer: Lower bunk assignment with access to appropriate prenatal care
NCCHC standards require that pregnant inmates in their third trimester be assigned lower bunks and have access to prenatal care to reduce fall risk and ensure appropriate monitoring.
Which medication regimen is the evidence-based standard of care for opioid dependence in a pregnant inmate?
Answer: Methadone or buprenorphine maintenance therapy
Methadone or buprenorphine maintenance therapy is the evidence-based standard for opioid use disorder in pregnancy to prevent fetal distress caused by withdrawal.
A pregnant inmate at 20 weeks gestation reports active vaginal bleeding. What is the nurse's first action?
Answer: Arrange immediate transport to an emergency obstetric facility
Vaginal bleeding at 20 weeks is a potential obstetric emergency requiring immediate transport for evaluation of placenta previa, abruption, or other life-threatening causes.
A corrections nurse is caring for an inmate who has just delivered and wishes to breastfeed. What is the most appropriate nursing response?
Answer: Assess facility policy, advocate for breastfeeding when clinically supported, and document the inmate's wishes
Nurses must assess facility policy, advocate for evidence-based maternal-infant practices such as breastfeeding when feasible, and document the patient's informed preferences.
What is the guiding principle behind applying community standards of care to pregnant inmates in correctional facilities?
Answer: To ensure pregnant inmates receive care equivalent to what is available in the community
Community standards of care require that pregnant inmates receive healthcare equivalent to that available in the broader community to protect maternal and fetal health outcomes.