The nurse is caring for a pregnant client who speaks little ...

[penguins]

The nurse is caring for a pregnant client who speaks little English. Which of the following actions should the nurse take to make certain that the client understands the plan of care?
 
  1. Write all of the instructions down and send them home with the client.
  2. Obtain a medical interpreter of the language the client speaks.
  3. Ask a housekeeper who speaks this language to interpret.
  4. Use gestures and facial expressions to get the plan across.

Question 2

A postpartal woman (gravida 1, para 1) asks immediately after delivery if she should request rooming-in with her infant. Your best response would be that
 
  A) this puts too much responsibility on a first-time mother.
  B) it depends on whether she will breastfeed or not.
  C) rooming-in allows increased maternal-newborn contact.
  D) resting for the first 3 days postpartum will be better for her.

[anoriega3]

Answer to Question 1

2
Rationale:
1. Writing English is not helpful, because verbal fluency usually develops before written fluency in language learners.
2. Women of all cultures and all language backgrounds deserve quality prenatal care. When working with a woman who speaks little or no English, a trained medical interpreter should be obtained.
3. Using family members, friends, or other staff to interpret could be problematic because few people understand medical terminology, and it can lead to confidentiality issues.
4. Gestures and facial expressions can be misinterpreted across cultures, and might not present the information correctly.

Answer to Question 2

C

[penguins]

TYSM

[mohan]

Excellent