Author Question: The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical ... (Read 199 times)

piesebel · **on:** Jun 27, 2018

The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child?

A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam room.

Question 2

A pregnant woman asks the nurse about giving birth in a birthing center. She says, I'm thinking about using one but I'm not sure..

Which of the following would the nurse need to integrate into the explanation about this birth setting? Select all that apply. A) An alternative for women who are uncomfortable with a home birth
B) The longer length of stay needed when compared to hospital births
C) Focus on supporting women through labor instead of managing labor
D) View of labor and birth as a normal process requiring no intervention
E) Care provided primarily by obstetricians with midwives as backup care

k2629 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
When interacting with a visually impaired child, it is a good communication technique to use his name to gain his attention before touching him. Letting him listen to his heart with the stethoscope, describing the examination room, and promoting exploration by touch are sound ways to interact, but are not specific to communicating with the child at the beginning of the assessment.

Answer to Question 2

A, C, D
Feedback:
Birthing centers are an alternative for women who are uncomfortable with a home birth but do not want a hospital birth. A birthing center offers a home-like setting but with close proximity to a hospital in case of complications. Typically the normal discharge time in birthing centers ranges from 4 to 24 hours, shorter than that for a hospital birth. Labor and birth are viewed as a normal process and midwives, not obstetricians, support the woman through labor rather than manage labor. Most centers use a noninterventional view of labor and birth.