While changing the diaper on a newborn in the presence of the ...

[nautica902]

While changing the diaper on a newborn in the presence of the mother, the nurse notes a belly binder wrapped around the umbilical cord. When questioned, the mother states this is the way the umbilical area is cared for in her culture.
 
  The nurse should: 1. Accept this practice as a cultural variation and allow the mother to care for the umbilicus.
  2. Explain to the mother the risks associated with belly binders and encourage her to remove it.
  3. Remove the belly binder and discard it.
  4. Replace the belly binder with a coin as a safer cultural practice.

Question 2

A goal of Healthy People 2010 is full immunization of 95 of children in kindergarten and first grade in the United States. To reach this goal, the school nurse can teach families that:
 
  1. A minor illness with a low-grade fever is a contraindication to receiving an immunization.
   2. Vaccines should be given one at a time for optimum active immunity.
   3. Premature infants and low-birth-weight infants should receive half-doses of vaccines.
 
   4. The benefits of immunizations outweigh the risks of communicable diseases.

[nital]

Answer to Question 1

2
Rationale 1: A belly binder prevents the cord from drying and may promote infection in the area. Cultural practices that are harmful should be discouraged through education of those involved.
Rationale 2: In this case, the belly binder is a cultural practice. While not accepting the practice as safe, the nurse recognizes the practice as a cultural variation and will work with the mother to provide for the needs of her infant.
Rationale 3: While the use of a belly binder varies from traditional American practice, the nurse should avoid offending the family and creating a barrier to accepted medical practice.
Rationale 4: This response does not show cultural acceptance and may negatively impact the therapeutic relationship.
Global Rationale:

Answer to Question 2

4
Rationale:
1. A minor illness is not a contraindication to immunization.
2. Giving vaccines one at a time will result in many missed opportunities.
3. Half-doses of vaccines should not be given routinely to premature and low-birth-weight infants.
4. The risks and benefits of vaccines far outweigh the risks from communicable diseases and resulting complications.

[nautica902]

Correct answers!

[nital]

Great! Please up vote