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NU309 PrepU Chapter 2 Questions With Complete Solutions.pdf 100% correct
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NU309 PrepU Chapter 21. A woman in active labor begins to recite a lullaby to "call the baby outside."
Which action by the nurse caring for this woman is most appropriate at this
time?
A. Administer IV pain medication.
B. Allow the client to perform a ritual.
C. Ask the woman the importance of this lullaby to her culture.
D. Ask the family to join in with the singing of this lullaby.: correct answer B.
Allow the client toperform a ritual.
(The nurse can acknowledge and celebrate a client's culture without stereotyping by
such actions as ensuring that the client has the opportunity to perform her cultural
traditions during labor, such as reciting a lullaby to "call her child outside." There is no
indication that pain medication is needed at this time. When one respects the culture,
quizzing about the purpose or importance of reciting this lullaby is inappropriate.)
,Page 26
2. While reviewing a woman's compliance with prenatal care, a nurse notes
that which comment made by the woman may be a result of poverty rather
than a cultural difference?
A. "I just don't understand why I have to give up alcohol when I am pregnant."
B. "In my culture, many women crave pica foods throughout the pregnancy."
C. "I can't rest in the afternoon since I work all day, and then I have to pick my
children up from day care."
D. "I wish I could afford fresh fruits for vitamin C because I just don't remember
to take those prenatal vitamins.": correct answer D. "I wish I could afford fresh
fruits for vitamin C because I just don't remember to take those prenatal vitamins."
(Many characteristic responses described as cultural limitations are actually the
consequences of poverty (e.g., parents seeking medical care for their children late in
the course of an illness or a woman not taking prenatal vitamins during pregnancy).
Solving these problems may be a question of locating adequate financial resources
and may not be related to cultural differences. Reducing alcohol intake may be an
,addiction problem. Many women work when they are pregnant and cannot take an
afternoon rest. Working may or may not be due to poverty, so the nurse will have to
ask additional questions before concluding the woman lives in poverty.)
Page 25
3. The nurse is mentoring a group of graduate nurses on potential positions
available at the health care facility. A male nurse expresses interest in working
in pediatric care. A colleague states, "Children relate better to women—they
are used to their mothers and want nurses like them." When reviewing the
response with the colleague, which response is accurate?
A. "We must avoid that type of comment as it presents a stereotype."
, B. "We cannot say those types of statements as they are taboo."
C. "I am sad you discouraged the nurse from that department. That is harass-
ment."
D. "You exhibited bullying by not supporting the interest in pediatrics.":
correct answer A. "Wemust avoid that type of comment as it presents a
stereotype."
(The nurse is most correct to identify that the comment was stereotyping. Stereo-
typing means expecting a person to act in a characteristic way without regard to his
or her individual traits. It is generally derogatory in nature. The statement did not
identify an uncomfortable topic or taboo. The statement does not constitute either
harassment or bullying.)
Page 26
4. An Islamic woman is in active labor and informs the nurse that she is fasting
during the day since it is Ramadan. What would the nurse assess for in this
woman related to her cultural ritual?
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