During the childbearing experience, which behavior might the nurse expect from an African-American client?

Correct Answer: D

Rationale: In the context of maternal newborn nursing, the correct answer is D) Arriving at the hospital in advanced labor. This behavior is often seen in African-American clients due to various factors such as historical mistreatment in healthcare, lack of access to quality care, and systemic racism leading to distrust in the healthcare system. African-American women are more likely to delay seeking care until labor is advanced, which can result in poor outcomes for both the mother and the baby. Option A) Seeking prenatal care early in her pregnancy is a recommended behavior, but it may not always be the case for African-American clients due to various barriers they face in accessing care. Option B) Avoiding self-treatment of pregnancy-related discomfort is a general good practice for all clients and not specific to any particular racial or ethnic group. Option C) Requesting liver in the postpartum period to prevent anemia is not a common or recommended practice and is not specific to African-American clients. Educationally, this question highlights the importance of understanding the social determinants of health, cultural competence, and the impact of systemic inequalities on healthcare outcomes. It underscores the need for healthcare providers to be aware of and address these disparities to provide equitable care for all clients, regardless of their background. By recognizing these factors, nurses can better support African-American clients throughout the childbearing experience and improve maternal and newborn health outcomes.

Correct Answer: B

Rationale: The correct answer is B) BSE (Breast Self-Examination) because it represents the secondary level of prevention in maternal newborn nursing. Secondary prevention focuses on early detection and prompt intervention to prevent the progression of disease or health conditions. In this case, BSE empowers women to monitor their breast health regularly, detect any abnormalities early, and seek timely medical intervention if needed, thus potentially preventing more serious complications like advanced breast cancer. Option A) Approved infant car seats, while important for infant safety, falls under primary prevention as it aims to prevent injury or harm from occurring in the first place. Option C) Immunizations are also considered primary prevention as they protect individuals from developing specific diseases. Option D) Support groups for parents of children with Down syndrome are part of tertiary prevention, which focuses on improving quality of life and minimizing complications for individuals who already have a health condition. In an educational context, understanding the levels of prevention in maternal newborn nursing is crucial for nurses to provide comprehensive care that addresses not only current health needs but also focuses on prevention and early intervention strategies to promote optimal maternal and newborn outcomes. It highlights the importance of empowering individuals to take an active role in their health and well-being through practices like self-examinations.

Correct Answer: D

Rationale: In the context of maternal newborn nursing, understanding the dynamics of different family structures is crucial for providing optimal care. The correct answer, D) Single-parent family, is the most socially vulnerable form of family in this scenario. Single-parent families often face economic challenges, lack of social support, and increased stress, all of which can impact the well-being of both the mother and the newborn. Option A) Married-blended family typically has more stability and support from multiple parental figures, reducing social vulnerability. Option B) Extended family provides additional layers of support and resources, lessening social vulnerability compared to single-parent families. Option C) Nuclear family, consisting of two parents and their children, may have more stability and support than a single-parent family, making them less socially vulnerable in this context. Educationally, recognizing the social determinants of health within different family structures is essential for nurses caring for maternal newborn populations. By understanding the unique challenges faced by single-parent families, nurses can tailor their care to provide appropriate support and resources to promote the well-being of both the mother and the newborn.

Correct Answer: C

Rationale: The correct answer is C) European-American because in this culture, it is more common for fathers to actively participate in the labor and delivery process compared to the other options provided. In European-American culture, there is a growing emphasis on involving fathers in the childbirth experience as a way to foster bonding, support the mother, and promote shared responsibility in parenting. Regarding the other options: A) Asian-American culture traditionally places more emphasis on the role of women in childbirth, with less involvement expected from the father. B) African-American culture varies widely but generally does not have as strong a tradition of active father participation in labor and delivery compared to European-American culture. D) In Hispanic culture, while family is important and support during childbirth is valued, the level of father involvement can also vary and may not be as pronounced as in European-American culture. Understanding cultural expectations and practices surrounding childbirth is crucial for healthcare providers working in maternal newborn nursing to provide culturally sensitive care and support to families. Encouraging father participation can have positive effects on family dynamics, maternal health outcomes, and infant well-being.

Correct Answer: C

Rationale: Each child conceived by this couple has a one-in-four chance of being affected with the PKU disorder. This couple still has an increased likelihood of having a child with PKU; having one child already with PKU does not guarantee that they will not have another. These parents need to discuss their options with their physician. However, an opportune time has presented itself for the couple to receive correct teaching about inherited genetic risks. No correlation exists between gender and inheritance of the disorder, because PKU is an autosomal recessive disorder.