When caring for the culturally diverse clients, which intervention should demonstrate that the nurse is being culturally sensitive to families?

Expecting fathers to participate in the labor experience

Using hand signs to communicate

Including use of my plate in nutrition teaching

Assessing health beliefs and practices before health teaching

Answer and Explanation

The Correct Answer is D

Explanation:

A. Expecting fathers to participate in the labor experience:

In many cultures, the involvement of fathers in the labor and childbirth experience is encouraged and valued as it promotes family bonding and support. However, cultural sensitivity requires recognizing that family dynamics and expectations can vary widely across cultures. Some cultures may prioritize the presence of female family members or may have specific rituals or traditions related to childbirth that may or may not involve fathers. Being culturally sensitive in this context means respecting and accommodating the preferences and traditions of each family rather than assuming a one-size-fits-all approach.

B. Using hand signs to communicate:

Using hand signs or gestures can be an effective communication strategy, especially when there are language barriers. It can help bridge communication gaps and enhance understanding between healthcare providers and clients from diverse cultural backgrounds. However, cultural sensitivity also involves recognizing that communication goes beyond language and includes understanding cultural norms, beliefs, and non-verbal cues that may vary across cultures. Therefore, while using hand signs can be helpful, it should be complemented by a broader understanding of cultural communication styles.

C. Including the use of MyPlate in nutrition teaching:

MyPlate is a visual tool used in nutrition education to promote healthy eating habits by illustrating recommended food portions from various food groups. While using MyPlate can be a valuable resource in nutrition teaching, cultural sensitivity in nutrition education requires consideration of cultural dietary practices, preferences, taboos, and traditional foods specific to each client's cultural background. It's important to tailor nutrition education to align with cultural norms and values related to food and eating habits to promote culturally appropriate and effective health education.

D. Assessing health beliefs and practices before health teaching:

This option reflects a crucial aspect of cultural sensitivity in healthcare. Assessing a client's health beliefs, values, practices, and cultural background before initiating health teaching allows healthcare providers to tailor their approach to meet the unique needs, preferences, and cultural context of each client. Understanding cultural perspectives on health and wellness enables providers to deliver more effective and culturally appropriate care, promote better communication, build trust, and enhance health outcomes.

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Correct Answer is A

Explanation

Explanation:

A. "Daily jogging for up to 30 minutes is fine throughout the pregnancy."

This response suggests that moderate-intensity exercise like jogging is safe throughout pregnancy. However, it's important to note that individual exercise recommendations can vary based on the woman's health status, pre-pregnancy fitness level, any pregnancy complications, and guidance from her healthcare provider. While moderate exercise is generally encouraged during pregnancy, it's crucial for the client to consult her healthcare provider for personalized recommendations.

B. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester."

This response addresses the importance of avoiding activities that can lead to overheating, such as using saunas or hot tubs, especially during the first trimester when fetal development is particularly sensitive. However, it doesn't specifically address general exercise guidelines.

C. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week."

This response suggests a very conservative approach to exercise during pregnancy, focusing primarily on stretching activities. While stretching can be beneficial, it's important for pregnant individuals to engage in a variety of exercises, including aerobic and strength-training activities, as long as they are safe and appropriate for their pregnancy status.

D. "Exercising during pregnancy is not recommended."

This response is not accurate. Exercise during pregnancy is generally recommended and has numerous benefits for both the mother and baby, including improved cardiovascular health, reduced risk of gestational diabetes, enhanced mood, and better overall well-being. However, the type, intensity, and duration of exercise should be tailored to the individual's needs and guided by healthcare providers.

A. Preparation for cesarean birth B. Initiation of pushing C. Examination to determine cervical status D. A magnesium sulfate infusion

Correct Answer is A

Explanation

Explanation:

A. Preparation for cesarean birth:

This is the correct choice. Placenta previa is a condition where the placenta partially or completely covers the cervix, leading to vaginal bleeding. In cases of suspected placenta previa with significant bleeding, cesarean birth is the safest delivery option to minimize the risk of complications such as hemorrhage. Therefore, immediate preparation for cesarean birth is indicated to ensure the safety of both the mother and the baby.

B. Initiation of pushing:

Pushing or active pushing efforts are contraindicated in cases of suspected placenta previa with significant vaginal bleeding. Pushing can increase the risk of further placental detachment and exacerbate bleeding. It is crucial to avoid any actions that could worsen the bleeding or harm the mother and baby. Therefore, initiation of pushing is not appropriate in this situation.

C. Examination to determine cervical status:

While cervical examinations are important during labor to assess progress and determine readiness for delivery, they are not appropriate in cases of suspected placenta previa with active vaginal bleeding. Cervical examinations can potentially increase bleeding and should be avoided until the placental location and stability are assessed through ultrasound or other diagnostic methods. Therefore, examination to determine cervical status is not appropriate in this situation.

D. A magnesium sulfate infusion:

Magnesium sulfate infusion is not indicated for suspected placenta previa with significant vaginal bleeding. Magnesium sulfate is commonly used to prevent or manage preterm labor and certain hypertensive disorders during pregnancy but is not a treatment for placenta previa or its associated bleeding. Immediate preparation for cesarean birth is the priority in this situation to ensure the safety of the mother and baby. Therefore, a magnesium sulfate infusion is not appropriate in this situation.

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When caring for the culturally diverse clients, which intervention should demonstrate that the nurse is being culturally sensitive to families?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?

Correct Answer is A

Explanation

A nurse is assessing a client who is in the third trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

A nurse is caring for a client diagnosed with preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?