At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care.
Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities.
State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge.
Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.
The Correct Answer is D
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A recent potluck that had a petting zoo: While petting zoos can be sources of zoonotic infections like E. coli or Salmonella, they are not associated with botulism, which comes from improperly processed foods.
B. A recent potluck that served spinach: Spinach can harbor bacterial infections like E. coli or Listeria, but it is not a common source of botulism unless improperly canned.
C. A recent potluck that served baked beans out of a bent can: Botulism is caused by Clostridium botulinum, a bacterium that produces neurotoxins in improperly canned, preserved, or stored foods. A bent or bulging can suggests contamination and potential toxin production, making it the most likely cause of botulism in this scenario.
D. A recent potluck that served pork products: Pork can transmit trichinosis (from undercooked meat) or bacterial infections (Salmonella, Listeria), but botulism is primarily linked to canned foods, not pork products.
Correct Answer is A
Explanation
parasite) that causes disease. In this case, the bacteria responsible for a vaginal infection is the infectious agent.
B. Agent and Host: While the host is the individual affected by the infection, the question specifically asks about the bacteria, which falls solely under the agent category.
C. Environment: The environment in the epidemiologic triangle refers to external conditions that contribute to disease transmission, such as hygiene, climate, and healthcare practices. The bacteria itself is not an environmental factor.
D. Host: The host refers to the person or animal that harbors the infection, not the bacteria itself.
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