The nurse is caring for a client recently emigrated from a ...

[sammy]

The nurse is caring for a client recently emigrated from a southeast Asian country. The mother has not held the child since it was born. Her husband and her sister have changed the diapers and fed the infant.
 
  The most likely explanation for this behavior is that the client: 1. Is not attaching to her infant appropriately.
  2. Is not going to be a good mother; the baby is at risk.
  3. Has no mother present to role-model behaviors.
  4. Is exhibiting normal behavior for her culture.

Question 2

The student nurse is to perform Leopold's maneuver on a laboring client. Which assessment requires intervention by the staff nurse?
 
  1. Client is assisted into supine position, and the position of the fetus is assessed.
  2. The upper portion of the uterus is palpated, then the middle section.
  3. After determining where the back is located, the cervix is assessed.
  4. Following voiding, the client's abdomen is palpated from top to bottom.

[Pswine]

Answer to Question 1

4
Rationale:
1. Because this client is from an Asian country, this is expected behavior.
2. The motherinfant couplet is not at risk. Because this client is from an Asian country, this is expected behavior.
3. Even though her mother is not present, her sister is providing role-modeling of behaviors. But because this client is from an Asian country, this is expected behavior.
4. In many cultures, especially those from developing countries with traditionally high infant mortality rates, the mother is expected to rest while the female relatives and the spouse provide child care for the first several weeks to months.

Answer to Question 2

3
Rationale:
1. Determination of fetal position and station is the point of Leopold's maneuver. The client is supine to facilitate uterine palpation.
2. This is correct order of the first and second Leopold's maneuver.
3. The cervical exam is not a part of Leopold's maneuvers abdominal palpation is the only technique used for Leopold's maneuver.
4. The client is instructed to void prior to beginning Leopold's maneuver to facilitate comfort; Leopold's maneuver is essentially palpation of the uterus through the abdomen, beginning at the fundus and ending near the cervix.