Author Question: The nurse is caring for a patient in labor. Which signs and symptoms would indicate the patient is ... (Read 117 times)

silviawilliams41 · **on:** Jun 27, 2018

The nurse is caring for a patient in labor. Which signs and symptoms would indicate the patient is progressing into the second stage of labor? Note: Credit will be given only for all correct choices and no incorrect choices.

Select all that apply. 1. Bulging perineum
2. Increased bloody show
3. Spontaneous rupture of the membranes
4. Uncontrollable urge to push
5. Inability to breathe through contractions

Question 2

The nurse is caring for a postpartal patient of Hmong descent who immigrated to the United States 5 years ago. The patient asks for the regular hospital menu because American food tastes best.

The nurse assesses this response to be related to which of the following cultural concepts? 1. Acculturation
2. Ethnocentrism
3. Enculturation
4. Stereotyping

kaillie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,2,4
Rationale 1: A bulging perineum indicates progression to the second stage of labor.
Rationale 2: Bloody show increases as a woman enters the second stage of labor.
Rationale 3: The amniotic sac can rupture at any time.
Rationale 4: When the cervix is fully dilated and the perineum is bulging, there is a strong urge to push.
Rationale 5: This symptom has no connection with going into the second stage of labor.

Answer to Question 2

1
Rationale 1: Acculturation (assimilation) is the correct assessment because the patient adapted to a new cultural norm in terms of food choices.
Rationale 2: Ethnocentrism refers to a social identity that is associated with shared behaviors and patterns.
Rationale 3: Enculturation occurs when culture is learned and passed on from generation to generation, and often happens when a group is isolated.
Rationale 4: Stereotyping is the assumption that all members of a group have the same characteristics.