The nurse is caring for a laboring client. A cervical exam ...

[dollx]

The nurse is caring for a laboring client. A cervical exam indicates 8 cm dilation. The client is restless, frequently changing position in an attempt to get comfortable. Which nursing action is most important?
 
  1. Leave the client alone so she can rest.
  2. Ask the family to take a coffee-and-snack break.
  3. Encourage the client to have an epidural for pain.
  4. Reassure the client that she will not be left alone.

Question 2

The postpartum nurse is mentoring a new graduate nurse. They are working with a Muslim family that had their first child yesterday. The new graduate asks the family what supplies they have at home.
 
  The husband responds that they have not yet purchased anything for their baby. How should the mentoring nurse explain this finding to the new graduate nurse? 1. This family is irresponsible, and should have acquired all the items they will need for the new baby prior to going into labor.
  2. The woman did not communicate what her due date was to her husband because of cultural issues.
  3. Income seems to be a problem for this family; Social Services should be contacted to assist the family.
  4. Muslims don't buy baby items prior to birth because they believe it is God's will, not their own decision, whether a baby will live.

[izzat]

Answer to Question 1

4
Rationale:
1. The client is in the transitional phase of the first stage of labor, and will not want to be alone.
2. The client is in the transitional phase of the first stage of labor. The family members might want to take a break, but the client will not want to be alone.
3. The client is in the transitional phase of the first stage of labor. There is no indication that the client wants pain relief.
4. Because the client is in the transitional phase of the first stage of labor, she will not want to be left alone; staying with the client and reassuring her that she will not be alone are the highest priorities at this time.

Answer to Question 2

4
Rationale:
1. This is a common misinterpretation by nurses who do not understand Muslim beliefs and traditions. Muslims believe that only God has the power to determine whether a baby will be born healthy and alive, and that to buy baby items prior to the birth is insulting God because the family has made the decision that the baby will live.
2. This is unlikely. More likely, the family is following Muslim childbearing traditions. Muslims believe that only God has the power to determine whether a baby will be born healthy and alive, and that to buy baby items prior to the birth is insulting God because the family has made the decision that the baby will live.
3. This is a common misinterpretation by nurses who do not understand Muslim beliefs and traditions. Muslims believe that only God has the power to determine whether a baby will be born healthy and alive, and that to buy baby items prior to the birth is insulting God because the family has made the decision that the baby will live.
4. This is a true statement. Understanding cultural variations on childbearing is important for a nurse to provide good care to clients.

[dollx]

Excellent

[JaynaD87]

Gracias!