During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.

Use maternity jargon in order for the patient to become familiar with these terms.

Speak quickly and efficiently to expedite the visit.

Provide the patient with handouts.

Assess whether the patient understands the discussion.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.

Choice B rationale:

Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.

Choice C rationale:

Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.

Choice D rationale:

Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.

Nursing Test Bank

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Correct Answer is A

Explanation

Choice A rationale:
Assessing the parents' anxiety level and readiness to learn is the first action when planning to teach the parents of an infant with a congenital heart defect (CHD). Understanding the parents' emotional state and readiness to receive information is crucial in tailoring the teaching approach effectively.
Choice B rationale:
Gathering literature for the parents is a valuable resource, but it should come after assessing the parents' needs and readiness to learn. Providing information without considering the parents' emotional state and readiness may not be as effective.
Choice C rationale:
Securing a quiet place for teaching is important for minimizing distractions, but it is not the first action. Assessing the parents' readiness to learn comes before setting up the teaching environment.
Choice D rationale:
Discussing the plan with the nursing team is important for coordination, but it is not the first action. Assessing the parents' emotional state and readiness to learn guides the development of an effective teaching plan.

A. this is a normal respiratory change in pregnancy caused by elevated levels of estrogen. B. this is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. C. the woman is a victim of domestic violence and is being hit in the face by her partner. D. the woman has been using cocaine intranasally.

Correct Answer is A

Explanation

Choice A rationale:

Nasal congestion and occasional epistaxis (nosebleeds) are common symptoms during pregnancy due to elevated levels of estrogen. Increased estrogen causes mucosal blood vessels to become engorged and more fragile, leading to nasal congestion and occasional nosebleeds. This is a normal respiratory change in pregnancy and not necessarily a cause for concern.

Choice B rationale:

While cardiovascular changes are common in pregnancy, nosebleeds alone are not indicative of abnormal cardiovascular changes unless they are accompanied by other symptoms. The given scenario does not provide enough information to support this choice.

Choice C rationale:

There is no evidence provided to suggest domestic violence (Choice C) as the cause of the woman's symptoms. Additionally, this choice lacks a physiological basis for the symptoms described.

Choice D rationale:

Intranasal cocaine use (Choice D) can indeed cause nasal congestion and frequent nosebleeds. However, the scenario does not provide any information to support this choice, and assuming drug use without evidence is not appropriate.

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During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.It is important for the nurse to:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?

Correct Answer is A

Explanation

A woman is in her seventh month of pregnancy.She has been reporting nasal congestion and occasional epistaxis.The nurse suspects that.

Correct Answer is A

Explanation

Human immunodeficiency virus (HIV) may be perinatally transmitted.

As relates to rubella and Rh issues, nurses should be aware that:.

The nurse-midwife is teaching a group of women who are pregnant, including instruction on Kegel exercises.Which statement by a participant would indicate a correct understanding of the instruction?

A premature infant with respiratory distress syndrome receives artificial surfactant.How would the nurse explain surfactant therapy to the parents?

A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry. She is confused and having conversations with herself. What is the appropriate response that the nurse should make?

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

The nurse administers vitamin K to the newborn for which reason?

A pregnant woman experiencing nausea and vomiting should:.

During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.