CNE Application
Cultural Competence: An Essential Journey for Perinatal Nurses
To receive a certificate of completion documenting CNE credit for this module:
By mail
• Complete and submit the original CNE application and module evaluation from
the module. No additional fee is required.
• Complete and submit a photocopy of the CNE application and module
evaluation with a $15 check payable to the March of Dimes.
• Download the CNE application and the module evaluation at marchofdimes.
com/nursing. Complete and submit the application and evaluation by mail with a
$15 check payable to the March of Dimes.
Contact hours will
be awarded for
this activity until
October 12, 2012.
Mail your application, evaluation and fee, when applicable, to:
March of Dimes Nursing Modules
1275 Mamaroneck Avenue
White Plains, NY 10605
Online
Go to marchofdimes.com/takeyourtestonline to take the independent study test and complete the module
evaluation. You receive immediate test results and can print your certificate of completion as a record of your
success. Online tests require a $15 fee payable by credit card.
This module is approved for 5.3 contact hours.
March of Dimes Foundation is an approved provider of continuing nursing education by the New York State
Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on
Accreditation.
It has been assigned code 7SHRNB-PRV-09.
The March of Dimes also is approved by the California Board of Registered Nursing, Provider #CEP11444.
Registration Information
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Independent Study Test:
Cultural Competence: An Essential Journey for Perinatal Nurses
To receive CNE credit for this module, record your answers to the following questions on the CNE application
and follow the submission instructions.
1. A characteristic associated with the concept of
race is:
A.Skin color
B. Country of origin
C.Language spoken
D.Ethnic background
6. The nurse assesses that a woman’s health-related
behavior is a functional tradition when it:
A.Enhances well-being
B. Promotes acculturation
C.Reflects ethical relativism
D.Characterizes a community of people
2. Western-European characteristics, values and
beliefs are reflected in which client statement?
A.“I don’t need prenatal care because having a
baby is a natural part of life.”
B. “I am not going to do anything different during
my pregnancy because what will be will be.”
C.“Before I make a decision, I need to speak with
my parents because I appreciate their advice.”
D.“My husband is taking time off from work
because he wants to be with me for labor and
birth.”
7. A nurse is performing preconception genetic
counseling for a woman with German heritage.
After developing a positive nurse-client rapport,
the nurse should ask, “Are you aware of anyone
in your family or your partner’s family who has:
A.Albinism
B. PKU
C.Cystic fibrosis
D.Gaucher disease
3. When providing culturally competent care to a
diverse population of pregnant women, it is most
important for the nurse to:
A.Facilitate acculturation
B. Understand one’s own cultural beliefs
C.Encourage family participation in the pregnancy
D.Teach the women about the dominant culture’s
approach to childbearing
4. A Hmong woman is consistent with her
traditional beliefs when she says:
A.“If I have a boy, we want him to be
circumcised.”
B. “Tell me about contraceptive methods after I
give birth.”
C.“It is hard to trust people when they don’t look
you in the eye.”
D.“I cannot have a cesarean birth because my
soul may leave my body.”
5. Which statement by a nurse reflects the concept of
ethnocentrism?
A.“Tell me about your personal beliefs.”
B. “Tomorrow is just as important as today.”
C.“Every society has its own cultural identity.”
D.“Our health care practices are the best in the
world.”
8. The epidemiologic paradox refers to a concept
that can be applied to perinatal nursing care. The
culturally competent nurse considers this concept
when concluding:
A.Women enter prenatal care with many assets.
B. Yin and yang maintain the body in perfect
balance.
C.Disease etiology is based on a word view of
health.
D.Immigrants require more intensive prenatal care
than most populations.
9. The nurse in the neonatal intensive care unit is
caring for a sick newborn of American Indian
heritage. The nurse should anticipate that the
ultimate decision maker concerning care for this
newborn will be:
A.Mother of the newborn
B. Both sets of grandparents
C.Oldest woman in the family
D.Male head of the household
10. When caring for a critically ill newborn whose
parents are Roman Catholic, it is appropriate for
the nurse to offer to:
A.Baptize the newborn
B. Light candles at sundown
C.Arrange for a circumcision
D.Anoint the newborn with oil
11.When working with an interpreter, it is important
that the nurse emphasize the need for the
interpreter to:
A.Elaborate on content
B. Paraphrase statements
C.Clarify misinformation
D.Maintain confidentiality
12.An emergency department nurse who speaks
English is to interview a client who does not speak
English. The client is accompanied to the hospital
by her spouse, her 12-year-old daughter and her
mother-in-law. The spouse and mother-in-law
speak a little English, and the daughter is fluent
in English. The volunteer emergency medical
technician who transported the client to the
hospital speaks the client’s language, and the nurse
has a telephone-based interpreter service available.
Who should the nurse use to communicate with
the client?
A.Spouse
B. Daughter
C.Telephone-based interpreter service
D.Emergency medical technician
13.A nurse who is working in a big city hospital that
provides health care to a diverse population is
sensitive to the concept of female genital cutting.
After providing contextual information about
this topic, the nurse should ask, “Have you
experienced female:”
A.Cutting
B. Mutilation
C.Infibulation
D.Circumcision
D.Encourage her to have the vagina narrowed
rather than closed
14.Health literacy refers to a person’s ability to:
A.Read and write
B. Obtain and use information
C.Compute and use numbers in printed materials
D.Search and comprehend information in
noncontinuous text
15.When caring for an Hispanic client who values
confianza, the nurse can specifically address this
issue by:
A.Developing a trusting nurse-client relationship
over time
B. Avoiding criticism when providing prenatal
counseling to the client
C.Limiting interactions that are based on the
foundation of cultural relativism
D.Encouraging the client to bring a respected family
member to prenatal visits
16.A pregnant woman tells the nurse that her mother
suspended a pencil on a string over her abdomen,
and it indicated that she is going to have a boy.
The nurse should:
A.Recognize that she is engaging in ethnocentrism
B. Accept her statement as a neutral functional
tradition
C.Explain that this practice is not based on
scientific evidence
D.Encourage her to have a sonogram to determine
the fetus’ gender
17.A nurse is working in a community agency that
has an enhanced model of prenatal care that
includes home visitation. The nurse is aware that
home visits:
A.Maintain the vertical power structure in
prenatal care
B. Allow the nurse to meet with women in a group
setting
C.Personalize care in relation to the woman’s
circumstances
D.Promote less intense interactions with health
care personnel
18.An Orthodox Jewish couple comes to the birthing
center when the woman is in the middle of the
first stage of labor. To be respectful of their
cultural needs, the nurse should encourage the
man to:
A.Rub his partner’s back during a contraction
B. Help the woman to assume a position of
comfort
C.Remain in the waiting room until the infant is
born
D.Provide nonphysical coaching during the
birthing process