At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care.
Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities.
State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge.
Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.
The Correct Answer is D
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Being bitten by an infected mosquito: A vector is an organism (e.g., a mosquito, tick, or flea) that transmits pathogens from one host to another. Mosquitoes transmit diseases like malaria, dengue fever, and Zika virus.
B. A group of partygoers hugging and shaking hands: This describes direct contact transmission, not vector-borne transmission.
C. Disease spreading from infected mother to infant via the placenta: This describes vertical transmission (from mother to child during pregnancy), not vector-borne transmission.
D. Two persons, one of whom is infected, sharing a glass of soda: This describes indirect contact transmission through fomites (contaminated objects), not vector-borne transmission.
Correct Answer is B
Explanation
A. Abstinence is the only way to be certain you are HIV free: While abstinence eliminates the risk, it is not the only preventive measure. Safer sex practices, such as condom use and PrEP (pre-exposure prophylaxis), can significantly reduce the risk of HIV.
B. The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months. HIV has a "window period" during which recent infections may not yet be detectable. Retesting in 3 months ensures accuracy and proper diagnosis.
C. The test could be wrong and the client might still have an HIV infection: Modern HIV tests are highly accurate, but recent infections may not be detected. Instead of causing unnecessary distress, the focus should be on retesting after the window period.
D. Sex should be restricted to one partner: Monogamy does not guarantee HIV prevention unless both partners are tested and remain faithful. The emphasis should be on safe sex practices.
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