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.

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Correct Answer is D

Explanation

Choice A rationale:

Leaving the infant in the room with the mother may not be appropriate, especially given the difficult delivery and the risk of complications, such as hypoglycemia.

Choice B rationale:

Taking the infant immediately to the nursery without monitoring vital signs and glucose levels could lead to missed signs of distress or hypoglycemia.

Choice C rationale:

Performing a gestational age assessment is important, but the immediate concern for this infant is the risk of hypoglycemia due to macrosomia (large birth weight). This choice does not address the immediate issue at hand.

Choice D rationale:

The correct answer. Macrosomic infants, especially those born after a difficult delivery, are at risk of hypoglycemia due to the excessive insulin production in response to high blood glucose levels. It is crucial to monitor the infant's blood glucose levels frequently and observe closely for signs of hypoglycemia, such as jitteriness, poor feeding, and lethargy.

A. Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor. B. Infant who is Rh negative and whose mother is Rh negative. C. Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor. D. Infant who is Rh positive and whose mother is Rh positive.

Correct Answer is C

Explanation

Choice A rationale:

Rh incompatibility occurs when an Rh-negative mother is exposed to Rh-positive fetal blood, leading to the development of antibodies against Rh-positive blood cells. In this scenario, the infant of an Rh-negative mother and an Rh-positive father who is heterozygous for the Rh factor (Choice C) is more likely to have Rh incompatibility. This is because there is a higher chance that the fetus will be Rh-positive, and the mother, being Rh-negative, may produce antibodies against the Rh-positive cells of the baby, causing hemolytic disease of the newborn.

Choice B rationale:

If both the mother and the infant are Rh-negative (Choice B), there is no Rh incompatibility, as there is no Rh-positive blood to trigger an immune response in the mother.

Choice D rationale:

If both the mother and the infant are Rh-positive (Choice D), there is also no Rh incompatibility, as there is no Rh-negative blood to cause an immune reaction in the mother.

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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

A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization, the infant is weighed, and the birth weight is 4550 g (9 lbs, 6 ounces). The nurse's most appropriate action is to:.

Correct Answer is D

Explanation

Which infant would be more likely to have Rh incompatibility?

Correct Answer is C

Explanation

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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:.