While caring for a patient in labor, the nurse notices during a ...

[ap345]

While caring for a patient in labor, the nurse notices during a vaginal exam that the baby's head has rotated internally. What would the nurse expect the next set of cardinal movements for a baby in a vertex presentation to be?
 
  1. Flexion, extension, restitution, external rotation, and expulsion
  2. Expulsion, external rotation, and restitution
  3. Restitution, flexion, external rotation, and expulsion
  4. Extension, restitution, external rotation, and expulsion

Question 2

The nurse works in a facility that cares for patients from a broad range of racial, ethnic, cultural, and religious backgrounds.
 
  Which statement should the nurse include in a presentation to recently hired nurses on the patient population of the facility? 1. Our patients come from a broad range of backgrounds, but we have a good interpreter service.
  2. Many of our patients come from backgrounds different from your own, but it doesn't cause problems for the nurses.
  3. Because most of the doctors are bilingual, we don't have to deal with the differences in cultural backgrounds of our patients.
  4. Understanding the common values and health practices of our diverse patients will facilitate better care and health outcomes.

[fromAlphatoOmega22]

Answer to Question 1

4
Rationale 1: The next set of cardinal movements would not begin with flexion.
Rationale 2: This is not the correct order of fetal position changes.
Rationale 3: This is not the correct order for fetal position changes.
Rationale 4: The fetus changes position in the following order: descent, flexion, internal rotation, extension, restitution, external rotation, and expulsion.

Answer to Question 2

4
Rationale 1: The role of a foreign language interpreter is to facilitate communication. The interpreter might not be able to interpret the cultural practices of patients. An example is a Spanish interpreter: The interpreter might be from Spain, but interprets language for clients from Guatemala and Nicaragua, countries about which the interpreter might know virtually nothing.
Rationale 2: Racial, ethnic, cultural, and religious backgrounds of patients have significant implications for how the patients perceive health, illness, and health care. It is important for nurses to understand the backgrounds of the client population that attends that facility.
Rationale 3: Bilingual physicians, like all physicians, have very busy schedules, and often do not understand nursing care. It is the responsibility of the nurse to become familiar with the backgrounds of the patient population.
Rationale 4: Because of the implications for care based on cultural background, it is important for nurses to understand the backgrounds of the patient population that attends the facility.