Question

Dr. Hussain states he will be present for decision making but that the certified nurse midwife that Aminah has been seeing throughout the pregnancy, Beth, and the staff nurse will support Aminah during the labor and birth process. Only female health care providers will be allowed into the room. Privacy and modesty are very important to both of them. They wish to allow Allah to provide for comfort and not have any medications. As father, he wishes to whisper prayers into the baby's ear shortly after birth and pin a verse from the Qur'an to the newborn's clothing for protection. Aminah will breastfeed the baby for 2 years. Prior to the first feeding, she will need to rub a small piece of softened date onto the baby's palate. Aminah's sister will be traveling to the US to assist with the care of the baby as he will be returning to his residency program. They will use social media to contact their family after the baby's birth once both mother and baby have been cleaned up and fed. The nurse uses the answers to the cultural and spiritual assessment to blend with labor and birth protocols and develop a plan of care. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

a. Provide written information and instructions about the induction of labor protocols to the husband. Allow the health care provider to explain the process and answer questions. Allow the client's husband to sign the consent on her behalf.Husband prefers written instructions as he understands English best in this format. Questions should be referred to the healthcare provider and the nurse will reinforce the instructions. Client agrees to allow husband to give consent for her. Consent should be first in the plan.
b. Female health care providers only. Keep client covered as much as possible and use non-pharmacological comfort measures. Minimize vaginal exams for both comfort and to decrease risk of infection.Muslim religion prefers female health care providers for women due to modesty and privacy issues. Decreasing the number of vaginal exams decreases exposure, discomfort, and risk for infection because of rupture of membranes.
c. After birth, dry the newborn and allow the father to hold the baby briefly before placing skin to skin with mother.Drying the newborn first prevents cold stress. While the father is holding the newborn, he can whisper the prayers.
d. Assess 1-minute Apgar score while in father's arms and 5-minute score on mother's abdomen- unless there is need for neonatal resuscitation.The Apgar score should be done at 1 minute and 5 minutes. If the neonate is in need of resuscitation, the parents will not be able to hold their baby until the infant's condition is stabilized. ABC's come prior to loving and belonging.
e. Allow mother to rub a soft date on newborn's palate prior to feeding. Assist the newborn to breastfeed within the first hour.Combining their cultural custom with the date and breastfeeding should not have any negative impact on the newborn. Breastfeeding within the first hour of life has been demonstrated to impact the success of breastfeeding.

Answer 1

The first two nursing actions in this scenario are to provide written information and instructions about the induction of labor protocols to the husband and to ensure that female healthcare providers only are involved in the process, while keeping the client covered and using non-pharmacological comfort measures.

Step-by-step explanation:

The first two nursing actions in the given scenario should be:

Provide written information and instructions about the induction of labor protocols to the husband. This action is important as the husband prefers written instructions and understands English best in this format. The nurse can provide the information and allow the healthcare provider to explain the process and answer any questions. The client agrees to let her husband give consent for her, so the nurse should reinforce the instructions and address any queries.

Female healthcare providers only. Keep the client covered as much as possible and use non-pharmacological comfort measures. This action aligns with the Muslim religion's preference for female healthcare providers for women due to modesty and privacy issues. By keeping the client covered, using non-pharmacological comfort measures, and minimizing vaginal exams, the nurse can address both the client and her husband's concerns about privacy, modesty, and risk of infection.