Which of the following would be a priority for the nurse when caring for a pregnant woman who has recently emigrated from another country?
a. Help her develop a realistic, detailed birth plan.b. Identify her support system.c. Teach her about expected emotional changes of pregnancy.d. Refer her to a doula for labor support.
ANS: b
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a. A detailed birth plan may not be culturally appropriate and is not first priority.
b. Correct, because lack of social support has been correlated with an increased risk of pregnancy complications and difficult adaptation to pregnancy. Pregnant women who are recent immigrants face many challenges in obtaining needed social support, and the nurse should first identify her support system to plan further interventions and referrals.
c. There may be cultural variations in emotional changes of pregnancy.
d. The nurse should first identify her support system before planning further interventions and referrals.
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