When weighing the advantages and disadvantages of planning home care for perinatal services, what information should the nurse use in making the decision?

Correct Answer: C

Rationale: In maternal health, the decision to opt for home care for perinatal services should be based on thorough considerations. Option C, "Home care for perinatal services allows the nurse to interact with and include family members in teaching," is the correct choice. This is because involving family members in the care and education process can enhance outcomes by promoting a supportive environment and extending the continuity of care beyond the healthcare setting. Option A is incorrect as it presents a biased view suggesting that home care is more dangerous for neonates, which is not necessarily true when appropriate precautions are taken. Option B is incorrect as cost should not be the primary factor in deciding the care setting for perinatal services; quality of care and patient outcomes should take precedence. Option D is also incorrect as the availability of nurses does not solely determine the appropriateness of home care; factors like patient preference, safety, and support system play crucial roles. Educationally, it is essential for nurses to understand the value of family-centered care in perinatal services. Involving family members can improve maternal and neonatal health outcomes, enhance patient satisfaction, and promote better adherence to care plans. Nurses should be equipped with the skills to engage and educate families effectively to ensure holistic care for perinatal patients.

Correct Answer: D

Rationale: The correct answer is D) Belief that babies should not be fed colostrum. In many Native American cultures, there are traditional beliefs that colostrum, the first milk produced by the mother, should not be given to the baby. This belief stems from cultural practices and may lead to delayed breastfeeding initiation. Option A) Delayed attachment could be a plausible choice, but in this scenario, the behavior is more likely tied to cultural beliefs rather than attachment issues. Option B) Embarrassment and Option C) Disappointment in the sex of the baby are not directly related to the cultural practice of delaying colostrum feeding. In an educational context, understanding cultural beliefs and practices is crucial for healthcare providers working with diverse populations. It is important to approach each situation with cultural competence, respect, and sensitivity to provide effective care and support for mothers and infants from different cultural backgrounds. Health professionals should be aware of these cultural nuances to provide appropriate education and support for maternal and infant health.

Correct Answer: D

Rationale: Rocker-bottom feet and clenched hands with overlapping fingers are associated with trisomy 18. Microcephaly and capillary hemangiomas are associated with trisomy 13. Epicanthal folds and a simian crease are associated with trisomy 21 (Down syndrome). Deletion of the short arm of chromosome number 5 is manifested by Cri du chat syndrome.

Correct Answer: C

Rationale: Colorectal cancer usually results from one or more predisposing genes and is the third leading cause of cancer deaths in women. Although tobacco smoke is a known causative factor for lung cancer, an acquired mutation of an oncogene may also be present. Liver cancer is not being investigated in this regarOral cancer may be caused by an inherited mutation of one or more oncogenes.

Correct Answer: D

Rationale: Although more than 1000 genetic tests are available, the single most cost-effective piece of genetic information is the family history. Nurses are ideally suited to take the lead in ongoing efforts to recognize the significance of the family history as an important source of genetic information. A computerized tool called My Family Health Portrait is available free of charge (https://familyhistory.hhs.gov/fhh-web/home.action). Other tools designed to help the lay community in completing their family histories are available to the public.