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 D

Explanation

Explanation:

A. Preeclampsia: Preeclampsia is a condition characterized by high blood pressure and signs of damage to other organs, typically occurring after 20 weeks of pregnancy. While preeclampsia is a concern during pregnancy, it is not directly related to abruptio placentae or the development of DIC.

B. Puerperal infection: Puerperal infection refers to an infection that occurs after childbirth. Although infections are a concern in the postpartum period, they are not specifically associated with abruptio placentae or the development of DIC unless there are additional risk factors or complications.

C. Anaphylactoid syndrome of pregnancy: Anaphylactoid syndrome of pregnancy (also known as amniotic fluid embolism) is a rare but serious condition where amniotic fluid enters the maternal circulation, potentially causing a severe allergic-like reaction. This condition is not directly related to abruptio placentae or the development of DIC.

D. Disseminated intravascular coagulation (DIC): This is the correct answer. DIC is a serious condition where the body's clotting mechanisms are abnormally activated, leading to widespread clot formation in small blood vessels. It can result from various conditions, including abruptio placentae, especially when there is evidence of bleeding such as petechiae and bleeding around the IV access site. DIC can lead to both bleeding tendencies and clot formation, affecting multiple organs and potentially causing severe complications.

A. "I know I am at increased risk to develop type 2 diabetes." B. "I will reduce my exercise schedule to 3 days a week." C. "I will take my glyburide daily with breakfast." D. "I should limit my carbohydrates to 50% of caloric intake."

Correct Answer is B

Explanation

Explanation:

A. "I know I am at increased risk to develop type 2 diabetes."

This statement indicates an understanding of the increased risk for developing type 2 diabetes after experiencing gestational diabetes. It shows awareness of the long-term implications and the importance of ongoing monitoring and lifestyle management.

B. "I will reduce my exercise schedule to 3 days a week."

This statement is concerning because regular exercise is an essential component of managing gestational diabetes. Exercise helps control blood sugar levels, improves insulin sensitivity, and promotes overall health during pregnancy. The client should not reduce their exercise schedule unless advised by their healthcare provider for specific reasons.

C. "I will take my glyburide daily with breakfast."

Glyburide is an oral medication used to help control blood sugar levels in some cases of gestational diabetes. Taking it with breakfast can help optimize its effectiveness. This statement indicates an understanding of medication management.

D. "I should limit my carbohydrates to 50% of caloric intake."

Limiting carbohydrates is often a key part of managing gestational diabetes, as it can help control blood sugar levels. However, the specific percentage of carbohydrate intake may vary based on individual factors and should be determined in consultation with a healthcare provider or registered dietitian.

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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 on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

Correct Answer is D

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?

Correct Answer is B

Explanation

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 caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should recognize that this diagnosis means which of the following?

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?