Author Question: The nurse is caring for a client in the prenatal clinic. The client recently arrived in the U.S. as ... (Read 61 times)

lb_gilbert · **on:** Jun 28, 2018

The nurse is caring for a client in the prenatal clinic. The client recently arrived in the U.S. as a refugee from a country in Africa. This is the first client from this cultural background with whom the nurse has worked.

What is the best method for the nurse to provide care for this client? 1. Ask the client about her expectations during the labor and birth.
2. Determine if the client has been tested for tuberculosis.
3. Help the client into the paper dressing gown prior to her exam.
4. Look for written handouts on prenatal care in the client's language.

Question 2

A pregnant adolescent asks the nurse, Why does the physician call measuring my uterus a fundal height'? The nurse's answer is based on the fact that the fundus of the uterus is located:

1. In the elongated portion where the fallopian tubes enter.
2. In the lower third area.
3. At the uppermost (dome-shaped top) portion.
4. Between the internal cervical os and the endometrial cavity.

IRincones · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Women new to the U.S. will have little or no experience with the U.S. health care system. Culture heavily influences a client's behaviors and attitudes during pregnancy, labor, and birth, so determining what the client wants during her labor and birth will facilitate both a better experience for the family and a calmer situation for the health care team.
2. Although tuberculosis is pandemic in refugee camps, and testing for tuberculosis in new arrivals to the U.S. is important, this question is about prenatal care. Testing for tuberculosis is not related to prenatal care.
3. The client is probably unfamiliar with paper dressing gowns, and will need some instruction (often through demonstration). But this is not the highest priority. It is more important to find out what the client expects to happen during her labor and birth.
4. Providing written handouts in the client's primary language is important. But a higher priority for prenatal care would be to assess what the client's expectations for labor and birth are.

Answer to Question 2

3
Rationale:
1. The elongated portion where the fallopian tubes enter the uterus is called the cornua.
2. The lower third of the uterus is called the cervix, or neck.
3. The rounded, uppermost (dome-shaped top) portion of the uterus that extends above the points of attachment of the fallopian tubes is called the fundus.
4. The isthmus is the portion of the uterus between the internal cervical os and the endometrial cavity.