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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Putting students on a diet if they weigh greater than 20% of their ideal weight: This is a tertiary prevention strategy, as it focuses on managing obesity after it has been diagnosed rather than early detection.
B. Weighing students to identify those who are overweight: Secondary prevention focuses on early detection and intervention to prevent disease progression. Weighing students allows for early identification of obesity and timely interventions.
C. Giving a presentation on the importance of exercise and physical fitness: This is primary prevention, which aims to prevent obesity before it occurs by promoting healthy habits.
D. Designing a game in which students select healthy food choices: This is also primary prevention, as it promotes healthy behaviors rather than identifying or managing existing obesity.
Correct Answer is A
Explanation
A. Elevated growths with a "cauliflower" appearance: HPV lesions, or genital warts, present as raised, rough-textured growths resembling a cauliflower, often found in the genital and anal areas.
B. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection, not HPV.
C. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, which differ from HPV warts in appearance and progression.
D. Solitary growth with elevated borders and a central depression: This describes basal cell carcinoma, not HPV-related lesions.
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