The perinatal clinic nurse is going to teach a woman from a ...

[Marty]

The perinatal clinic nurse is going to teach a woman from a culture unfamiliar to the nurse about child-rearing practices. What action by the nurse is best before planning the education?
 
  a. Ensure the availability of written material to give the woman
  b. Assess what practices are important to her cultural group
  c. Determine if the woman is the primary family decision maker
  d. Refer the woman to a prenatal educational class

Question 2

A nurse is providing anticipatory guidance to a new mother about the Erikson stage of trust versus mistrust. What education should the nurse provide to the mother to help her child successfully master this stage?
 
  a. Consistently provide your child with food and attention.
  b. Ensure someone is able to feed your child on a schedule.
  c. Allow unrestricted crawling and exploring as the child develops.
  d. Provide firm guidelines for behavior and activities.

[Expo]

Answer to Question 1

ANS: B
The nurse must ensure he/she has a solid understanding of important child-rearing concepts in the woman's culture or risk that any teaching done will be irrelevant and perhaps in opposition to important beliefs. Since the nurse is unfamiliar with this culture, the first step is to assess. Written material is helpful if the patient is able to read and comprehend it. It would be important to determine if the woman is the decision maker, but this is not as much of a priority as learning about the culture. Referring the woman to an educational group may or may not be helpful.

Answer to Question 2

ANS: A
The most important item needed for a child to master this stage of development is a consistent caregiver who provides food and attention. If the caregiver is inconsistent or unable to meet these needs, the child will develop mistrust of those around him. Ensuring that someone feeds the child is not providing consistency. Allowing exploration within limits (setting boundaries) is important to master initiative vs. shame and doubt.

[Marty]

TYSM

[Dominic]

Excellent