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. A client who is at 38 weeks of gestation and reports a cough and fever.

The client at 38 weeks of gestation with a cough and fever presents with symptoms that could indicate a potential infection, such as respiratory or urinary tract infection, which can be serious during pregnancy. Infections in late pregnancy can also increase the risk of complications for both the mother and the baby. Therefore, assessing this client first is crucial to evaluate and address any potential infection and prevent complications.

B. A client who is at 28 weeks of gestation and reports painless vaginal bleeding.

Painless vaginal bleeding can be a concern, especially in the second or third trimester, as it may indicate conditions such as placenta previa or placental abruption. However, since this client's bleeding is painless, it may not be an immediate emergency compared to the potential infection in option A.

C. A client who is at 14 weeks of gestation and reports nausea and vomiting.

Nausea and vomiting, commonly known as morning sickness, are common during early pregnancy. While these symptoms can be uncomfortable, they are typically not urgent unless they lead to dehydration or other complications, which would require assessment but may not be as urgent as a potential infection in option A.

D. A client who has missed a period and reports vaginal spotting.

Vaginal spotting can occur in early pregnancy and may or may not be concerning depending on the amount and frequency. Since this client has missed a period, it suggests early pregnancy, and spotting can be relatively common in early pregnancy without indicating a significant problem. However, assessment is still needed to rule out any potential complications.

A. Slightly below the umbilicus B. 3 cm above the umbilicus C. 3 cm below the umbilicus D. Slightly above the umbilicus

Correct Answer is B

Explanation

Explanation:

A. Slightly below the umbilicus:

Around 16-20 weeks of gestation, the fundal height is typically palpated slightly below the umbilicus. This corresponds to the level of the fundus before it starts rising significantly above the umbilicus as the pregnancy progresses.

B. 3 cm above the umbilicus:

At 22 weeks of gestation, the fundal height is expected to be approximately 3 cm above the umbilicus. This is a common estimation for the fundal height at this stage of pregnancy, as the uterus continues to grow and the fundus ascends in a predictable manner.

C. 3 cm below the umbilicus:

Palpating the fundus 3 cm below the umbilicus would typically correspond to an earlier gestational age, such as around 16-18 weeks. As pregnancy advances, the fundal height increases, and by 22 weeks, it should be well above the level of the umbilicus.

D. Slightly above the umbilicus:

This location is closer to where the fundal height is expected to be at later gestational ages, such as 24-26 weeks. However, at 22 weeks of gestation, the fundal height should not be palpated slightly above the umbilicus but rather around 3 cm above it.

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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 in an antepartum unit is triaging clients. Which of the following clients should the nurse assess first?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

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 in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

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 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?

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?