Which cultural group is known for women who may remain stoic until late in labor, at which point they may become vocal and request pain relief?
Hispanic
Chinese
Caucasian/European
African-American
The Correct Answer is A
Choice A rationale:
Hispanic women: While Hispanic cultures often emphasize strength and resilience, their expression of pain during labor can vary significantly. Some may vocalize their pain while others may remain more stoic. It's important to avoid generalizations and assess each individual's preferences and needs.
Choice B rationale:
Chinese women: In traditional Chinese culture, stoicism in the face of pain is often valued. This may be rooted in Confucianism, which emphasizes self-control and endurance. Women may be less likely to express their pain during labor to avoid appearing weak or losing face. They may also believe that vocalizing pain could negatively impact the birthing process. However, as labor progresses, they may become more vocal and request pain relief.
Choice C rationale:
Caucasian/European women: Caucasian women exhibit diverse responses to labor pain, influenced by personal experiences, cultural beliefs, and social expectations. Some may express their pain openly, while others may prefer to manage it quietly. It's crucial to avoid stereotyping and provide individualized care.
Choice D rationale:
African-American women: African-American women often express their pain during labor more openly than some other cultural groups. This may be due to historical experiences of racism and discrimination in healthcare, leading to a distrust of medical professionals and a greater reliance on self-advocacy. They may also have a stronger sense of community and support networks that encourage open expression of pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Bishop score: A tool used to assess the readiness of the cervix for labor induction. It evaluates factors such as cervical dilation, effacement, consistency, position, and station of the fetal presenting part.
Score ranges from 0 to 13: A higher score indicates a more favorable cervix for induction.
Score of 6 or less: Induction is less likely to be successful.
Score of 9 or higher: Induction is more likely to be successful.
Nurses understand: The importance of the Bishop score in predicting the likelihood of successful induction.
Nurses use this information: To counsel patients about the risks and benefits of induction, to prepare for induction, and to monitor progress during induction.
Choice B rationale:
Not always done for medical reasons: Induction can also be elective, meaning it is chosen for non-medical reasons, such as convenience or a desire to avoid a post-term pregnancy.
Examples of medical reasons:
Gestational hypertension or preeclampsia
Fetal growth restriction
Prolonged pregnancy
Chorioamnionitis
Oligohydramnios
Choice C rationale:
Trial of labor (TOL): A term used to describe a vaginal birth attempt after a previous cesarean delivery.
Not synonymous with induction of labor: TOL can occur spontaneously or be induced.
Choice D rationale:
Not always electively done at 37 weeks' gestation: The decision to induce labor at 37 weeks is made on a case-by-case basis.
Factors considered:
Maternal and fetal health
Bishop score
Patient preferences
Correct Answer is A
Explanation
Choice A rationale:
Trisomy 21, also known as Down syndrome, is a genetic condition caused by the presence of an extra copy of chromosome 21.
The nuchal translucency test (NT) is a non-invasive ultrasound screening test that measures the thickness of the fluid-filled space at the back of a developing baby's neck.
Evidence suggests that fetuses with Down syndrome tend to have increased fluid accumulation in this area, resulting in a larger-than-average nuchal translucency measurement.
Therefore, an increased NT measurement can be a marker for an increased risk of Down syndrome.
It's important to emphasize that the NT test is a screening tool, not a diagnostic test.
This means it can only indicate an increased risk of Down syndrome; it cannot definitively diagnose the condition.
To confirm a diagnosis, further testing, such as chorionic villus sampling (CVS) or amniocentesis, is required.
Choice B rationale:
Neural tube defects (NTDs) are birth defects that affect the brain, spine, or spinal cord.
The most common NTDs are spina bifida and anencephaly.
The NT test is not a diagnostic test for NTDs, although it might detect some cases of open spina bifida.
However, it's not specifically designed for this purpose, and other tests, such as alpha-fetoprotein (AFP) screening or detailed ultrasound, are more reliable for diagnosing NTDs.
Choice C rationale:
The NT test is typically performed in the first trimester of pregnancy, between 11 and 14 weeks gestation.
It's not available in the second trimester because the nuchal translucency measurement becomes less reliable after this point in pregnancy.
Choice D rationale:
A nuchal translucency measurement of 3mm or less is generally considered normal.
Measurements greater than 3mm are associated with an increased risk of Down syndrome and other chromosomal abnormalities.
The higher the measurement, the greater the risk.
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