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 C
Explanation
A. "You are far enough along that your baby will be just finE." This is not a good response because it is dismissive of the client's concerns and does not provide any factual information or reassurancE. The nurse should not make false promises or minimize the client's feelings.
B. "Everyone worries about their baby while they are in labor." This is not a good response because it is generalizing and does not address the client's specific situation. The nurse should not compare the client to others or imply that their worries are normal or insignificant.
D. "We have a neonatal unit here equipped to handle emergencies." This is not a good response because it implies that there is a high risk of complications and may increase the client's anxiety. The nurse should not focus on negative outcomes or scare the client with unnecessary information.
Correct Answer is ["A","B","E","F"]
Explanation
A. Call the lactation consultant to visit the patient
Rationale: A lactation consultant is a specialized professional who can provide expert guidance on breastfeeding techniques and troubleshooting latching issues. They can offer personalized assistance and support to ensure proper latch and feeding.
B. Encourage and support the mother's desire/intention and include the partner in the conversation
Rationale: Providing emotional support and encouragement is crucial. Including the partner helps create a supportive environment for the mother and ensures that everyone is on the same page regarding breastfeeding goals and practices.
E. Check for audible swallowing and a comfortable (non-painful) suck
Rationale: Ensuring that the baby is swallowing and that the mother is not experiencing pain during feeding indicates that the latch may be correct. This helps confirm that the baby is feeding effectively and that the mother is comfortable.
Not Recommended:
C. Give the mother a bottle of formula to supplement
Rationale: Introducing formula supplementation is not necessary if the goal is exclusive breastfeeding. This step might undermine the mother's confidence or interfere with the baby's ability to latch properly.
D. Help the mother shove her nipple in the baby's mouth
Rationale: This approach can cause discomfort and may not address the underlying issue of improper latching. It is better to use techniques that encourage a natural and comfortable latch.
Note:
F. Assist with proper positioning and latch techniques"
Rationale:Proper positioning ensures the baby is comfortably aligned with their head in line with their body, and the baby is brought to the breast, not vice versa.
A good latch involves the baby opening their mouth wide to take in the nipple and a portion of the areola, which helps with milk transfer and reduces discomfort. Proper latch prevents pain and supports milk production.
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