CCN Special Populations & Vulnerable Groups in Corrections 1

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

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.

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

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.

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

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.

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

Methadone or buprenorphine maintenance therapy is the evidence-based standard for opioid use disorder in pregnancy to prevent fetal distress caused by withdrawal.

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

Vaginal bleeding at 20 weeks is a potential obstetric emergency requiring immediate transport for evaluation of placenta previa, abruption, or other life-threatening causes.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Special Populations & Vulnerable Groups in Corrections 1