While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?

Correct Answer: D

Rationale: In the context of providing care in a prenatal clinic to a diverse group of clients, the cultural factor related to health that is most likely to drive acceptance of planned interventions is individual beliefs (Option D). This is because individual beliefs strongly influence a person's attitudes, values, and behaviors towards health care practices. When a person's beliefs align with the planned interventions, they are more likely to accept and adhere to the recommended care. Option A, educational achievement, may not necessarily drive acceptance of planned interventions as someone's level of education does not always correlate with their beliefs and attitudes towards health care. Similarly, income level (Option B) may impact access to care but may not directly influence acceptance of interventions. Subcultural group (Option C) can play a role in shaping beliefs, but individual beliefs within a subculture can still vary widely. In an educational context, understanding the significance of cultural factors in healthcare is crucial for nurses working in diverse settings. By recognizing and respecting individual beliefs, nurses can provide culturally competent care that is more likely to be accepted and effective. This underscores the importance of considering the individual's cultural background when planning and implementing interventions in maternal newborn nursing practice.

Correct Answer: A

Rationale: Before the client makes any decisions, she should discuss this newly discovered information with a genetic counselor. Genetic counselors can help with the diagnosis and management of families affected by genetic conditions. The discussion of potential surgery should be pursuant to genetic counseling. Telling the woman that everything is going to be fine may give her false hope and is not accurate. All options should be discussed with the genetic counselor. Furthermore, the guiding principle for genetic counseling is nondirection, which respects the right of the individual or family who are being counseled to make autonomous decisions.

Correct Answer: B

Rationale: Testing is not 100% accurate and has a high percentage of false-negative results. An individual may not take these results seriously and subsequently fail to have testing completed or to seek necessary follow-up consultation. Anxiety and altered family relationships are often the result of genetic testing. The results of genetic testing may be difficult to keep confidential, and family members may feel pressured to have testing performeDecisions about genetic testing are shaped by socioeconomic status and the ability to pay for the testing. Some types of genetic testing are expensive and are not covered by insurance benefits. Caucasian middle-class families have greater access to genetic screening; therefore, this population is less at likely to decide against genetic testing.

Correct Answer: A

Rationale: Factor V Leiden is the most common inherited risk factor for primary or recurrent venous thromboembolism. It is an autosomal recessive disorder that increases an individual's risk for blood clots in the legs and pulmonary emboli. This risk significantly increases if the woman is pregnant or is taking oral contraceptives or hormone replacement therapy. Prophylactic anticoagulation therapy decreases the risk of comorbidities.

Correct Answer: C

Rationale: Karyotyping provides genetic information such as gender and chromosomal structure. The lecithin/sphingomyelin (L/S) ratio, not karyotyping, reveals lung maturity. Although karyotyping can detect genetic anomalies, the range of normal is nondescriptive, and not all such anomalies display obvious physical deformities. The term 'deformities' is a nondescriptive word, and physical anomalies may be present that are not detected by genetic studies (e.g., cardiac malformations).