A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

"You will need to discuss this with the provider."

"There are specific pain management options that you need to use."

"It is better to use pain management options that have been researched."

"We will work with you to incorporate the practices that are safe for you and your fetus."

Answer and Explanation

The Correct Answer is D

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

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Correct Answer is A

Explanation

A. Body weight – Correct; the best indicator of fluid loss in infants is a change in weight because infants have higher water content and small changes can significantly impact hydration status.

B. Blood pressure – Incorrect; infants can maintain blood pressure until dehydration becomes severe.

C. Respiratory rate – Incorrect; respiratory rate may increase with dehydration but is not the most reliable indicator.

D. Skin integrity – Incorrect; poor skin turgor is a sign of dehydration, but weight loss is more objective and accurate.

A. Avoid the use of aspirin. B. Avoid consumption of alcohol. C. Eat foods fortified with folic acid. D. Increase intake of iron.

Correct Answer is C

Explanation

A. Avoid the use of aspirin. – Incorrect; aspirin use is not a major risk factor for neural tube defects (NTDs).

B. Avoid consumption of alcohol. – Incorrect; alcohol consumption can cause fetal alcohol syndrome, but it is not directly linked to NTDs.

C. Eat foods fortified with folic acid. – Correct; folic acid is essential for neural tube development, and adequate intake reduces the risk of NTDs, such as spina bifida and anencephaly.

D. Increase intake of iron. – Incorrect; iron is crucial for preventing anemia in pregnancy but does not significantly impact NTD risk.

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A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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