A Vietnamese patient who speaks little English is admitted to the labor and birth unit in early labor. The nurse plans to use an interpreter during an initial assessment. Which should the nurse plan to implement with regard to using an interpreter? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A) Face the interpreter when speaking. When using an interpreter, it is crucial for the nurse to maintain eye contact and face the interpreter directly. This ensures effective communication and helps establish a connection with the patient through the interpreter. Option B) Listen carefully to what the patient says is a good practice in any communication situation but does not specifically address the use of an interpreter. Option C) Speak slowly and smile when appropriate is a good tip for effective communication but does not directly relate to utilizing an interpreter. Option D) Plan to use a male interpreter, even if a female interpreter is available is incorrect. The gender of the interpreter should be based on the patient's preference and comfort level, not predetermined by the nurse. In the context of maternal and child health, effective communication is crucial for providing safe and quality care to patients. Utilizing interpreters when language barriers exist is essential to ensure patients fully understand their care plans and can express their needs and concerns. Nurses must be mindful of cultural considerations and best practices when working with interpreters to facilitate meaningful and accurate communication with patients from diverse backgrounds.

Correct Answer: D

Rationale: The correct nursing intervention that is written correctly is option D. The intervention "Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM" is clear, specific, and provides a specific time frame for the activity. It is important in nursing documentation to be precise and clearly state the details of the intervention to ensure effective communication among healthcare team members. This intervention also specifies the frequency and duration of the ambulation activity, which helps in ensuring continuity of care and proper execution of the intervention for the patient.

Correct Answer: C

Rationale: The most accurate statement related to clinical practice among the choices presented is that neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. Neonatal nurse practitioners specialize in the care of newborns, particularly those who are premature or have health complications. They work in settings such as neonatal intensive care units (NICUs) and provide specialized care to meet the needs of high-risk infants. Neonatal nurse practitioners collaborate with neonatologists and other healthcare professionals to ensure that these fragile patients receive the necessary care and attention. This role involves advanced clinical skills and knowledge in the care of neonates, making it a crucial part of the healthcare team for newborns in need of specialized care.

Correct Answer: A

Rationale: A patient who is Gravida 3, para 2, with no complications can safely be cared for by a certified nurse-midwife. This patient has had two previous pregnancies, both resulting in successful deliveries, and is currently not experiencing any complications. Nurse-midwives are trained to provide care for low-risk pregnancies and deliveries, making this patient an appropriate candidate for their care. Patients with mild hypertension (choice B), insulin-dependent diabetes (choice C), or borderline pelvic measurements (choice D) would likely require additional monitoring and potential intervention beyond the scope of practice of a certified nurse-midwife.

Correct Answer: A

Rationale: The correct answer is A) During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. This option is correct because historically, women from affluent backgrounds often gave birth in hospitals attended by midwives. This practice was prevalent during the 19th century. Option B) Granny midwives received their training through a period of apprenticeship is incorrect because while midwives did undergo training through apprenticeships, the specific term "granny midwives" is not a widely recognized or historically accurate description. Option C) The recognition of improved obstetric outcomes was related to increased usage of hygienic practices is incorrect because while hygienic practices have indeed contributed to improved obstetric outcomes, this was not the primary reason for the shift to hospital-based births. Option D) A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth is incorrect. While advancements in medical equipment did play a role in the shift to hospital births, the primary reason was more related to the desire for a controlled environment and access to medical interventions in case of complications. In an educational context, understanding the historical evolution of maternity care is crucial for healthcare professionals working in maternal and child health. Knowing the context in which different practices emerged can provide insights into current practices and help improve care for pregnant women and infants.