The primiparous patient is being admitted to the birthing unit. ...

[beccaep]

The primiparous patient is being admitted to the birthing unit. As the nurse begins the assessment, the patient's partner asks why the baby's heart rate will be monitored.
 
  After the nurse explains, which statement by the partner indicates a need for further teaching? 1. The baby's heart rate will vary between 110 and 160.
  2. The heart rate is monitored to see whether the baby is tolerating labor.
  3. By listening to the heart, we can tell the gender of the baby.
  4. After listening to the heart rate, you will contact the midwife.

Question 2

The postpartum nurse is mentoring a new graduate nurse. They are working with a Muslim family who 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.

[Kdiggy]

Answer to Question 1

3
Rationale 1: A normal fetal heart rate is 110160.
Rationale 2: The outcome of assessing the fetal heart rate is to determine fetal tolerance to the physiologic stresses of labor.
Rationale 3: Fetal heart rate is not a predictor of gender.
Rationale 4: Once the admission is complete, the nurse will contact the patient's provider with the assessment findings.

Answer to Question 2

4
Rationale 1: This is a common misinterpretation by nurses who do not understand Muslim beliefs and traditions.
Rationale 2: This is unlikely. More likely, the family is following Muslim childbearing traditions.
Rationale 3: This is a common misinterpretation by nurses who do not understand Muslim beliefs and traditions. This has nothing to do with economics.
Rationale 4: This is a true statement. Understanding cultural variations on childbearing is important for a nurse to provide good care to patients.