Which one of the following statements is true regarding a pregnant patient who presents following blunt trauma?

Correct Answer: A

Rationale: The correct answer is A: "Early gastric decompression is important." In pregnant patients following blunt trauma, there is a risk of gastric distension due to compression by the gravid uterus, which can lead to aspiration. Early gastric decompression helps prevent this complication. Choice B is incorrect because an Hb level of 10g/dl does not specifically indicate recent blood loss. Choice C is incorrect as pregnant patients may have an exaggerated CVP response to volume resuscitation. Choice D is incorrect as the lap belt can cause direct pressure on the gravid uterus, increasing the risk of injury to the fetus.

Correct Answer: A

Rationale: The correct answer is A: Report it at once to his supervisor. This is the correct course of action because reporting abuse to the supervisor ensures proper procedures are followed, protects the resident, and allows for a thorough investigation by trained professionals. Confronting the abuser (B) could escalate the situation and put the nursing assistant at risk. Trying to stop the abuse himself (C) may not be safe or effective, and could lead to further harm. Calling the resident's family (D) is not the appropriate action as the supervisor and relevant authorities need to be informed first to handle the situation professionally.

Correct Answer: A

Rationale: The correct answer is A: Immediately after care is given. This is because documenting right after care ensures accuracy and timeliness. It helps in capturing all essential details while they are fresh in mind, reducing the risk of errors or omissions. Waiting until the end of the shift (choice B) may lead to forgetfulness or inaccuracies. Documenting whenever there is time (choice C) is not ideal as it can delay important information from being recorded promptly. Documenting before care is given (choice D) is incorrect as it goes against the standard practice of documenting actions taken rather than planning.

Correct Answer: C

Rationale: The correct answer is C because the resident's behavior of calling the nursing assistant clumsy and too slow is an example of aggressive behavior. This statement is hurtful and disrespectful, showing a lack of consideration for the nursing assistant's feelings. In contrast, assertive behavior (choices A, B, and D) involves expressing needs or concerns in a respectful and direct manner without belittling others. Choice A demonstrates assertiveness by requesting help, choice B by acknowledging limitations professionally, and choice D by addressing a practical issue in a helpful manner. Aggressive behavior, as seen in choice C, involves hostility, criticism, and lack of regard for others' emotions.

Correct Answer: B

Rationale: The correct answer is B because developmental disabilities typically restrict an individual's physical and/or mental ability, affecting their functioning in daily life. This is supported by research and clinical observations. Choice A is incorrect as developmental disabilities are typically long-term or permanent conditions. Choice C is incorrect because developmental disabilities are not mental illnesses; they are neurodevelopmental disorders. Choice D is incorrect because with proper support and accommodations, many individuals with developmental disabilities can lead independent lives and work.