CCN Special Populations & Vulnerable Groups in Corrections

Question 1

A pregnant inmate at 28 weeks gestation reports decreased fetal movement for the past 24 hours. What is the nurse's priority action?

Accepted Answer

Arrange immediate medical evaluation including a non-stress test

Answer

Document the finding and reassess in 4 hours

Answer

Educate the patient on normal fetal movement patterns

Answer

Administer oral hydration and monitor for 2 hours

Question 2

Which components are essential in the initial health assessment for a newly incarcerated pregnant woman?

Accepted Answer

Determination of gestational age, obstetric history, and prior prenatal care received

Answer

Immediate prenatal vitamin administration without further assessment

Answer

Restriction from all work assignments pending delivery

Answer

Mandatory HIV testing without consent

Question 3

According to NCCHC standards, what housing accommodation is required for pregnant inmates in their third trimester?

Accepted Answer

Lower bunk assignment with access to appropriate prenatal care

Answer

General population housing without restriction

Answer

Continuous monitoring in a dedicated medical unit

Answer

Administrative segregation for protective purposes

Question 4

Which medication regimen is the evidence-based standard of care for opioid dependence in a pregnant inmate?

Accepted Answer

Methadone or buprenorphine maintenance therapy

Answer

Naltrexone only

Answer

Clonidine monotherapy

Answer

Naloxone as needed only

Question 5

A pregnant inmate at 20 weeks gestation reports active vaginal bleeding. What is the nurse's first action?

Accepted Answer

Arrange immediate transport to an emergency obstetric facility

Answer

Apply a perineal pad and document the finding

Answer

Obtain a urine specimen for urinalysis

Answer

Administer oral iron supplementation

Question 6

A corrections nurse is caring for an inmate who has just delivered and wishes to breastfeed. What is the most appropriate nursing response?

Accepted Answer

Assess facility policy, advocate for breastfeeding when clinically supported, and document the inmate's wishes

Answer

Inform the inmate that breastfeeding is prohibited in all correctional facilities

Answer

Automatically provide formula as standard practice

Answer

Refer the decision entirely to custody staff without nursing input

Question 7

What is the guiding principle behind applying community standards of care to pregnant inmates in correctional facilities?

Accepted Answer

To ensure pregnant inmates receive care equivalent to what is available in the community

Answer

To minimize healthcare expenditures in correctional budgets

Answer

To restrict pregnant inmates from receiving specialized obstetric care

Answer

To defer treatment until the inmate's scheduled release date