A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client? (Select onE.:
Absence of family members during labor
Request to drink cold fluids immediately after delivery
Practice of maternal fasting following the birth
Desire to delay breastfeeding for several days
The Correct Answer is D
Choice A: Absence of family members during labor is not a common practice among Hispanic clients, as they tend to value family support and involvement during childbirtH. The nurse should respect the client's preferences and allow the family members to be present if the client wishes.
Choice B: Traditionally, Hispanic postpartum practices emphasize warmth and avoidance of cold. Cold fluids are generally discouraged, as cultural beliefs hold that they may cause imbalance or illness. Thus, requesting cold fluids immediately after delivery is unlikely.
Choice C: Practice of maternal fasting following the birth is not a common practice among Hispanic clients, as they tend to consume warm and nutritious foods and beverages to promote healing and lactation. The nurse should encourage the client to eat a balanced diet and provide culturally appropriate foods if possiblE.
Choice D: Delaying breastfeeding for several days is a recognized cultural practice among some Hispanic families. Colostrum may be viewed as “dirty” or insufficient, and mothers may wait until mature milk comes in before initiating breastfeeding. Nurses should anticipate this belief and provide culturally sensitive education about the benefits of early breastfeeding while respecting the client’s values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is C
Explanation
Choice A: Polyhydramnios is not a cause of variable decelerations. Polyhydramnios is a condition where there is an excessive amount of amniotic fluid, which can cause complications such as preterm labor, placental abruption, and cord prolapsE. Polyhydramnios can cause late decelerations, which are a sign of uteroplacental insufficiency and fetal hypoxiA.
Choice B: Fetal head compression is not a cause of variable decelerations. Fetal head compression is a normal physiological response to the uterine contractions and the descent of the fetal head into the pelvis. Fetal head compression can cause early decelerations, which are a benign and reassuring pattern that mirror the contractions.
Choice C: Umbilical cord compression is a cause of variable decelerations. Umbilical cord compression is a condition where the blood flow through the umbilical cord is reduced or interrupted, which can result from cord prolapse, cord knots, or cord wrapping around the fetal neck or limbs. Umbilical cord compression can cause variable decelerations, which are abrupt and irregular decreases in the FHR that vary in shape, duration, and timinG.
Choice D: Maternal fever is not a cause of variable decelerations. Maternal fever is a condition where the mother's body temperature is elevated, which can indicate an infection or inflammation. Maternal fever can cause tachycardia, which is a high FHR above the normal range of 110 to 160 beats/min.
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