Mod 2 ATI Test- Family, Culture, and Environment

A nurse is asking a pregnant client about their living arrangements. When assessing a client's neighborhood and built environment, the nurse should recognize that which of the following presents a risk to the client? Select all that apply.

-Pollution

-Unsafe housing

-High levels of crime

Pollution is correct. Pollution can negatively impact a family's capacity to thrive because it can impact health.

Unsafe housing is correct. Unsafe housing can negatively impact a family's capacity to thrive.

High levels of crime is correct. Neighborhoods with a lot of crime can negatively impact a family's capacity to thrive.

Economic stability is incorrect. Economic instability, not stability, can negatively impact a family's capacity to thrive.

Community programs is incorrect. Strong community support can improve a client's wellbeing.

A nurse is assessing a client for risk factors associated with partner violence. The nurse should identify that which of the following statements is an indication the client may be at risk for partner violence?

My partner often talks to me like I'm a child

The nurse should recognize that a client whose partner talks down to them, physically harms them, threatens to harm them, insults them, or screams at them indicates a risk for partner violence.

A nurse is teaching a reproductive health class on family planning. Which of the following client statements indicates an understanding of the teaching?

"Family planning will help me make sure I have the resources needed to space pregnancies adequately."

Family planning is included in the goals of Healthy People 2030, which has objectives to address adequate spacing of pregnancies, increase use of birth control, and decrease incidence of pregnancies in adolescents and unintended pregnancies overall

The nurse is planning care for a family unit during childbirth. Which of the following actions should the nurse include in the plan of care?

Provide individualized care based upon cultural beliefs and preferences

Care should be individualized to fit the needs of cultural beliefs and preferences of the family during birth.

A nurse is caring for a group of clients. The nurse should identify that which of the following clients are at higher risk for maternal and infant morbidity and mortality? Select all that apply.

-A client who has low income

-A client who has a mental health diagnosis

-A client who has experienced partner violence

-A client who is incarcerated

A client who has low income is correct. A client who have low income is at higher risk for maternal and infant morbidity and mortality.

A client who has a mental health diagnosis is correct. A client who has a mental health diagnosis is at higher risk for maternal and infant morbidity and mortality.

A client who has experienced partner violence is correct. A client who has experienced partner violence is at higher risk for maternal and infant morbidity and mortality.

A client who has a full-time job and health benefits is incorrect. Financial stability would not place a client at higher risk for maternal and infant morbidity and mortality.

A client who is incarcerated is correct. An incarcerated client is at higher risk for maternal and infant morbidity and mortality.

A client who has social and family support is incorrect. Strong social supports would not place a client at higher risk for maternal and infant morbidity and mortality.

A nurse is caring for a pregnant client who recently immigrated to the country. When planning care for the client, the nurse should recognize that culture may influence which of the following? Select all that apply.

-Who accompanies the client to prenatal visits

-Who provides emotional support to the client during pregnancy and birth

-Decisions regarding circumcision of a male infant

-The request of a spiritual leader after birth

Who accompanies the client to prenatal visits is correct. Cultural norms may influence who accompanies the client to their prenatal visits, such as significant others or family members.

Who provides emotional support to the client during pregnancy and birth is correct. The provision of emotional support to the client may be given by different members of their support system depending on cultural norms.

Decisions regarding circumcision of a male infant is correct. Culture, which includes religion, may influence whether a client decides to circumcise a male infant after birth.

The offering of genetic testing is incorrect. Clients of all cultural backgrounds should be offered genetic testing when appropriate or desired.

The request of a spiritual leader after birth is correct. Religion is an important aspect of culture and may influence the client's request to have a spiritual leader present after birth.

A nurse is planning care for a client's 8 week prenatal visit. The nurse recognizes that they should include assessment or evaluation of the following objectives by Healthy People 2030 in their care? Select all that apply.

-Strengthening social support systems

-Encouraging adults to talk to families and social support systems about their health

-Increasing health literacy of the population at large

Strengthening social support systems is correct. Healthcare objectives set by Healthy People 2030 encourage strengthening social support systems and community resources in order to obtain optimal outcomes and access to care.

Encouraging adults to talk to families and social support systems about their health is correct. Healthy People 2030 encourage adults to talk to their families and social support systems about their health.

Increasing health literacy of the population at large is correct. Healthcare objectives set by Healthy People 2030 increasing health literacy of the population at large.

Reduce pregnancies in adolescents is incorrect. While reducing pregnancy in adolescents is a Healthy People 2030 goal, it does not apply to this client.

Gaining prenatal care in the 2nd trimester of pregnancy is incorrect. A Healthy People 2030 objective aims to increase early prenatal care access. Second trimester care would not be considered early care and this client is scheduled for an 8 week visit.

A nurse is caring for a postpartum client who is a member of the LGBTQIA community. The nurse recognizes that the client is at an increased risk for which complication?

Depression

Members of the LGBTQIA community often report depression during their pregnancy and postpartum period which may be related to social stigma.

A nurse is caring for a pregnant client from a different culture. Which of the following involves the nurse understanding cultural differences and how they may impact care for the client?

Cultural competence

Cultural competence involves the nurse understanding the impact that culture may have on care and communication with the client.

A nurse is assessing the family structure of a client who is pregnant. The client asks, "Who is considered to be family?" Which of the following responses should the nurse make?

"Your family is whoever you identify it to be."

Family structure is determined by the client and can differ between various clients.

A nurse is educating a client on the importance of preventative care during pregnancy. Which of the following is an example of a primary prevention for a client in their third trimester?

Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination

Vaccines are considered primary prevention and the CDC recommends the Tdap vaccine during the third trimester to provide protection against pertussis for the newborn.

A nurse is reviewing the electronic medical record of a client who is at 12 weeks of gestation. The nurse should identify which of the following findings as an indication that the client is at risk for unhealthy outcomes?

The client consumes primarily fast food

The nurse should identify that a condition, such as consuming a diet of primarily fast food may indicate an unhealthy outcome, because fast foods tend to be highly processed and high in fat and sodium.

A nurse is preparing a poster for a local community health fair about the use of tobacco products during pregnancy. Which of the following infant outcomes related to secondhand smoke should the nurse include on the poster? Select all that apply.

-Sudden unexpected infant death (SUID)

-Behavioral dysfunction

-Cognitive impairment

-Increased rate of infections

Sudden unexpected infant death (SUID) is correct. A newborn exposed to secondhand smoke is at increased risk for SUID.

Behavioral dysfunction is correct. Exposure to secondhand smoke has been linked to increased risk for behavioral dysfunction in infants.

Cognitive impairment is correct. Exposure to secondhand smoke has been linked to increased risk for cognitive impairment in infants.

Gastroesophageal reflux is incorrect. The development of gastroesophageal reflux is not associated with exposure to secondhand smoke.

Increased rate of infections is correct. Exposure to secondhand smoke is directly related to increased rates of respiratory and ear infections in infants.

High birth weight is incorrect. Exposure to secondhand smoke is directly related to low birth weight rather than high birth weight.

A nurse is caring for a client during their first trimester. The client reports not having friends or family nearby with pregnancy experience to ask for advice. The nurse should identify that social support in pregnancy can help the client meet which of the following needs? Select all that apply.

-Adequate nutrition

-Prenatal care

-Education related to childbirth or parenting

Adequate nutrition is correct. Social support in pregnancy can provide the client with resources such as nutritious food to meet their needs during pregnancy.

Prenatal care is correct. Social support in pregnancy is associated with accessing adequate prenatal care.

Education related to childbirth or parenting is correct. Having social support in pregnancy can provide the client with education on their upcoming birth and the transition to parenthood.

Decrease the risk of preeclampsia is incorrect. While social support is important for a healthy pregnancy, preeclampsia is a complex disorder that cannot be avoided by social support.

Decrease the chance of a cesarean birth is incorrect. Social support alone does not impact the mode of delivery.

A nurse is planning care for a maternal client. The nurse recognizes that which of the following principles from the Association of Women's Health Obstetric and Neonatal Nurses Framework for Respectful Maternity Care should be considered when caring for the client? Select all that apply.

-Awareness

-Mutual Respect

-Shared Decision making

-Informed Consent

-Dignity

Awareness is correct. Awareness is a principle outlined in the framework that centers around providing respectful care to all clients, regardless of the client's approach to pregnancy and birth.

Mutual respect is correct. Mutual respect is a principle described in the framework that centers around therapeutic, client-centered communication.

Shared decision making is correct. Shared decision making is a principle outlined in the framework to include evidence-based care when working with clients to make decisions about care.

Informed consent is correct. Informed consent is a principle outlined in the framework that pairs with shared decision making to empower clients to make decisions based on evidence-based care.

Dignity is correct. Dignity is a principle in the framework and requires the nurse to advocate for the client's unique, personal needs and wishes for their pregnancy and birth.

Benevolence is incorrect. While an important component of care, benevolence is not a principle outlined in the framework.

A nurse is discussing neonatal abstinence syndrome (NAS) with a pregnant client who uses opioids. The nurse should include which of the following manifestations of NAS in the teaching?

Delays in achieving developmental milestones

The nurse should inform the client that manifestations of NAS include impaired growth and development, resulting in delays in achieving developmental milestones like talking and learning.

A nurse is providing teaching for a client of childbearing age who has hypertension. The nurse should include which of the following primary prevention strategies during preconception counseling? Select all that apply.

-Ensuring they are up to date on vaccinations

-Tobacco cessation

Obtaining a mammogram is incorrect. Secondary prevention places significance on early detection of disease and is focused on individuals who have subclinical disease manifestations. Examples of secondary prevention include screening exams such as Pap tests, colonoscopies, and mammography.

Ensuring they are up to date on vaccinations is correct. The purpose of primary prevention is to prevent diseases from occurring in a specific individual and is aimed at members of the population who are assumed to be healthy.

Getting a Papanicolaou (Pap) test is incorrect. Secondary prevention places significance on early detection of disease and is focused on individuals who have subclinical disease manifestations. Examples of secondary prevention include screening exams such as Pap tests, colonoscopies, and mammography.

Tobacco cessation is correct. Tobacco cessation is considered to be primary prevention when caring for clients prior to pregnancy.

Following up with their cardiologist is incorrect. While important for preconception health, managing their hypertension and preventing it from worsening are tertiary prevention strategies.