A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

"You will need to discuss this with the provider."

"There are specific pain management options that you need to use."

"It is better to use pain management options that have been researched."

"We will work with you to incorporate the practices that are safe for you and your fetus."

Answer and Explanation

The Correct Answer is D

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

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Correct Answer is A

Explanation

A. Nesting – Correct; nesting instinct refers to a surge of energy in late pregnancy, leading the mother to prepare for the baby.

B. Bloody show – Incorrect; bloody show refers to mucus mixed with blood, a sign of cervical dilation.

C. Lightening – Incorrect; lightening refers to the baby dropping into the pelvis, making breathing easier but increasing pressure on the bladder.

D. Effacement – Incorrect; effacement is the thinning of the cervix, an essential part of labor but not related to nesting.

A. Notify social services. B. Ask the parents what caused the bruises. C. Ask the toddler what caused the bruises. D. Notify the provider.

Correct Answer is B

Explanation

A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.

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A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Nursing Test Bank

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