While changing the diaper on a newborn in the presence of the mother, the nurse notes a belly binder wrapped around the umbilical cord. When questioned, the mother states this is the way the umbilical area is cared for in her culture
The nurse should: 1. Accept this practice as a cultural variation and allow the mother to care for the umbilicus.
2. Explain to the mother the risks associated with belly binders and encourage her to remove it.
3. Remove the belly binder and discard it.
4. Replace the belly binder with a coin as a safer cultural practice.
2
Rationale 1: A belly binder prevents the cord from drying and may promote infection in the area. Cultural practices that are harmful should be discouraged through education of those involved.
Rationale 2: In this case, the belly binder is a cultural practice. While not accepting the practice as safe, the nurse recognizes the practice as a cultural variation and will work with the mother to provide for the needs of her infant.
Rationale 3: While the use of a belly binder varies from traditional American practice, the nurse should avoid offending the family and creating a barrier to accepted medical practice.
Rationale 4: This response does not show cultural acceptance and may negatively impact the therapeutic relationship.
Global Rationale:
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