Which of the following are specific culturally sensitive nursing ...

[naturalchemist]

Which of the following are specific culturally sensitive nursing considerations the nurse integrates into care of the pregnant client? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Counseling about home remedies
  2. Discussing components of a balanced diet
  3. Refusing to discuss birthing choices
  4. Encouraging use of support systems
  5. Instructing the client to use no home remedies

Question 2

The primiparous patient has stated that she wants to avoid an epidural and would like an unmedicated birth. Which nursing action is most important for this patient?
 
  1. Encourage the patient to vocalize during contractions.
  2. Perform vaginal exams only between contractions.
  3. Provide a CD of soft music with sounds of nature.
  4. Offer to teach the partner how to massage tense muscles.

[patma1981]

Answer to Question 1

1, 2, 4
Explanation: 1. The culturally sensitive nurse should find out what medications and home remedies the client is using, and counsel the client regarding overall effects.
2. The culturally sensitive nurse will discuss the importance of a well-balanced diet during pregnancy with consideration of the client's cultural beliefs and practices.
4. Encouraging the use of support systems and spiritual aids that provide comfort for the mother is important in culturally sensitive care.

Answer to Question 2

4
Rationale 1: Some patients want to vocalize during labor, and some vocalize only when they perceive that they are losing control. The patient should determine whether vocalization is desirable for her.
Rationale 2: Vaginal exams are performed between contractions for all laboring patients in order to decrease discomfort.
Rationale 3: The nurse should ask the patient what type of music she would like to listen to instead of making assumptions.
Rationale 4: Massage is helpful for many patients, especially during latent and active labor. Massage can increase relaxation and therefore decrease tension and pain.