A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos they brought with them. They have refused your offer of ice chips or other cold drinks for the client. What should the nurse do?
1. Explain to the client that she can have the broth if she will also drink cold water or juice.
2. Encourage the client to have the broth, after the nurse takes it to the kitchen and boils it first.
3. Explain to the couple that food is not allowed to be brought from home, but that the nurse will make hot broth for them.
4. Encourage the partner to feed the client sips of their broth. Ask if the client would like you to bring her some warm water to drink as well.
Question 2
During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?
1. Chart the presence of a Mongolian spot.
2. Ask the mother about the cause of the bruise.
3. Confer with the physician about the possibility of a bleeding tendency.
4. Call the Department of Social Services (DSS) to report this sign of abuse.
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