A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client? (Select onE.:
Absence of family members during labor
Request to drink cold fluids immediately after delivery
Practice of maternal fasting following the birth
Desire to delay breastfeeding for several days
The Correct Answer is D
Choice A: Absence of family members during labor is not a common practice among Hispanic clients, as they tend to value family support and involvement during childbirtH. The nurse should respect the client's preferences and allow the family members to be present if the client wishes.
Choice B: Traditionally, Hispanic postpartum practices emphasize warmth and avoidance of cold. Cold fluids are generally discouraged, as cultural beliefs hold that they may cause imbalance or illness. Thus, requesting cold fluids immediately after delivery is unlikely.
Choice C: Practice of maternal fasting following the birth is not a common practice among Hispanic clients, as they tend to consume warm and nutritious foods and beverages to promote healing and lactation. The nurse should encourage the client to eat a balanced diet and provide culturally appropriate foods if possiblE.
Choice D: Delaying breastfeeding for several days is a recognized cultural practice among some Hispanic families. Colostrum may be viewed as “dirty” or insufficient, and mothers may wait until mature milk comes in before initiating breastfeeding. Nurses should anticipate this belief and provide culturally sensitive education about the benefits of early breastfeeding while respecting the client’s values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: I am a terrible mother and should give my child up for adoption. This is a false and harmful statement that reflects low self-esteem, guilt, and hopelessness. These are common symptoms of perinatal mood and anxiety disorder, but they do not reflect the reality or the potential of the patient. The patient needs support, counseling, and possibly medication to overcome these negative thoughts.
Choice B: This is just normal baby blues and I will be fine in a few days. This is a false and minimizing statement that denies the severity and duration of perinatal mood and anxiety disorder. Baby blues are mild and transient mood changes that occur in the first two weeks after delivery. Perinatal mood and anxiety disorder is a more serious and persistent condition that can affect the mother's mental health, bonding with the baby, and daily functioninG. The patient needs to recognize the signs and symptoms of perinatal mood and anxiety disorder and seek professional help.
Choice C: I will have to be on medications the rest of my lifE. This is a false and pessimistic statement that assumes that perinatal mood and anxiety disorder is a chronic and incurable condition. Medications are one of the treatment options for perinatal mood and anxiety disorder, but they are not the only onE. Psychotherapy, peer support, lifestyle changes, and alternative therapies are also effective ways to manage perinatal mood and anxiety disorder. The patient needs to have a realistic and hopeful outlook on the recovery process and the possibility of remission.
Choice D: I am not alone, I am not to blame, I will get better with help. This is a true and empowering statement that reflects the key messages of perinatal mood and anxiety disorder education and awareness. The patient needs to know that perinatal mood and anxiety disorder is a common and treatable condition that affects many women around the worlD. The patient needs to understand that perinatal mood and anxiety disorder is not caused by personal weakness, failure, or fault. The patient needs to believe that perinatal mood and anxiety disorder can be overcome with the help of health care providers, family, friends, and support groups.
Correct Answer is ["C","D","E","F"]
Explanation
Choice A: Delayed bonding with maternal newborn dyad is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact promotes bonding and attachment between the mother and the newborn by stimulating the release of oxytocin and enhancing the maternal-infant interaction.
Choice B: Decreased breastfeeding exclusivity is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact facilitates breastfeeding initiation and duration by supporting the newborn's innate feeding behaviors and increasing the mother's confidence and milk production.
Choice C: Regulation of blood sugar is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps prevent hypoglycemia in the newborn by increasing the glucose uptake from the mother's skin and reducing the stress hormone levels that inhibit insulin secretion.
Choice D: Stabilization of temperature is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps maintain the newborn's body temperature by providing a warm and insulated environment and reducing heat loss through convection, radiation, and evaporation.
Choice E: Transfer of good bacteria from amniotic fluid and vernix is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps colonize the newborn's skin and gut with beneficial microorganisms from the mother's amniotic fluid and vernix, which can protect the newborn from infections and enhance the immune system development.
Choice F: Improvement of lung and heart function is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps improve the newborn's respiratory and cardiovascular status by stimulating the vagal nerve and increasing the oxygen saturation and blood pressurE.
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