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:
provide the patient with handouts.
speak quickly and efficiently to expedite the visit.
assess whether the patient understands the discussion.
use maternity jargon in order for the patient to become familiar with these terms.
The Correct Answer is C
Choice A reason: This is incorrect because providing the patient with handouts is not enough to ensure effective communication. The handouts may not be in the patient's preferred language or may use unfamiliar words or concepts. The nurse should also use other methods, such as interpreters, translators, or visual aids, to convey information to the patient.
Choice B reason: This is incorrect because speaking quickly and efficiently may hinder the patient's comprehension and increase the risk of misunderstanding. The nurse should speak slowly and clearly, using simple and common words, and allow time for the patient to ask questions or clarify information.
Choice C reason: This is correct because assessing whether the patient understands the discussion is essential for effective communication and patient education. The nurse should use techniques such as teach-back, ask-me-3, or show-me to verify the patient's understanding and address any gaps or misconceptions.
Choice D reason: This is incorrect because using maternity jargon may confuse the patient and create barriers to communication. The nurse should avoid using medical terms, abbreviations, or slang that the patient may not be familiar with. The nurse should explain any necessary terms in plain language and use examples or analogies to illustrate them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Further testing will not be performed to determine the meaning of this score, as the biophysical profile score is a reliable indicator of fetal well-being. It is a combination of five parameters: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and fetal heart rate. Each parameter is scored as 0 (abnormal) or 2 (normal), and the total score ranges from 0 to 10.
Choice B reason: The test results are within normal limits, as a biophysical profile score of 8 or higher indicates a healthy fetus with a low risk of hypoxia or acidosis. It also suggests that the placenta is functioning adequately and the pregnancy can continue safely.
Choice C reason: An obstetric specialist will not evaluate the results of this profile and, within the next week, will inform you of your options regarding delivery, as the biophysical profile score is interpreted by the nurse or the health care provider who performed the test. It is not a diagnostic test that requires a consultation with a specialist.
Choice D reason: Immediate delivery by cesarean birth is not being considered, as the biophysical profile score of 8 does not indicate any fetal distress or complication that would warrant an urgent intervention. Cesarean birth may be indicated for other reasons, such as malpresentation, placenta previa, or failure to progress in labor.
Correct Answer is A
Explanation
Choice A reason: Fetal sleep cycles are a normal physiological cause of decreased variability in the FHR, which is the fluctuation of the baseline FHR above and below 2 cycles per minute. Fetal sleep cycles usually last 20 to 40 minutes and do not affect the fetal well-being.
Choice B reason: Umbilical cord compression is an abnormal cause of decreased variability in the FHR, as it reduces the blood flow and oxygen delivery to the fetus. It can also cause variable decelerations, which are abrupt decreases in the FHR below the baseline.
Choice C reason: Altered cerebral blood flow is an abnormal cause of decreased variability in the FHR, as it indicates a compromise in the fetal central nervous system. It can also cause late decelerations, which are gradual decreases in the FHR after the peak of a contraction.
Choice D reason: Fetal hypoxemia is an abnormal cause of decreased variability in the FHR, as it reflects a severe lack of oxygen in the fetal blood. It can also cause sinusoidal pattern, which is a smooth, undulating waveform in the FHR.
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