The pregnant patient reports to the nurse that she is eating dirt ...

[nenivikky]

The pregnant patient reports to the nurse that she is eating dirt on a weekly basis and was told to do this by her grandmother to have a healthy pregnancy. How should the nurse respond?
 
  1. The soil might contain contaminants that could harm your baby.
  2. This practice is completely unhealthy and should be stopped.
  3. Your grandmother gave you bad advice. Stop at once.
  4. There is no problem with this practice. Feel free to continue.

Question 2

An expectant father has been at the bedside of his laboring partner for more than 12 hours. An appropriate nursing intervention would be to do which of the following?
 
  1. Insist that he leave the room for at least the next hour.
  2. Tell him he is not being as effective as he was, and that he needs to let someone else take over.
  3. Offer to remain with his partner while he takes a break.
  4. Suggest that the client's mother might be of more help.

[Beatricemm]

Answer to Question 1

1
Rationale 1: It is a common practice for African Americans, especially those with familial roots in the South, to eat a specific type of clay dirt during pregnancy. However, the soil could have bacterial, viral, or chemical contaminants, and this practice should be discouraged to prevent maternal or fetal harm. Therapeutic communication requires explaining the rationale for not eating dirt, not just telling the client to stop.
Rationale 2: Therapeutic communication must be used at all times with clients. The nurse should not just tell a client to stop but should provide more information.
Rationale 3: Therapeutic communication must be used at all times with clients; thus the nurse should not simply tell a client that familial advice or practices are bad.
Rationale 4: The soil could have bacterial, viral, or chemical contaminants, and this practice should be discouraged to prevent maternal or fetal harm.

Answer to Question 2

3
Explanation: 3. Support persons frequently are reluctant to leave the laboring woman to take care of their own needs. The laboring woman often fears being alone during labor. Even though there is a support person available, the woman's anxiety may be decreased when the nurse remains with her while he takes a break.

[nenivikky]

Correct answers!

[Beatricemm]

Great! Please up vote