The jail nurse is interviewing a woman who has been brought to the clinic for prenatal care. Which of the following are appropriate actions for the nurse to perform? (Select all that apply.)
A.
Assess the woman for drug and alcohol abuse and possible withdrawal.
B.
Assess the woman's health knowledge and health literacy.
C.
Ask if the woman has other children and who is caring for them.
D.
Determine if the woman has risk factors for pregnancy complications.
E.
Inquire about the woman's criminal history and background.
ANS: A, B, C, D
A nurse who is able to deliver culturally competent care to incarcerated women quickly becomes cognizant of the challenges of caring for this population. These women tend to have many health problems, including substance abuse and dependency. They frequently have not had access to health-related knowledge. Because nearly 1.3 million children of incarcerated women have no mother figure in their lives, women in prison or jail are often deeply concerned about their welfare. This demonstrates caring and can often be the motivation for making changes. The nurse needs to complete a thorough obstetrical history, including determining risk factors for high-risk pregnancy. The nurse does not need to know about the woman's criminal history.
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