A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
you can bathe and dress your baby if you'd like to
I'm sure you will be able to have another baby when you’re ready
You should name the baby so she can have an identity
If you don’t hold the baby, it will make letting go much harder
The Correct Answer is A
A. "You can bathe and dress your baby if you'd like to": This statement acknowledges the client's autonomy and offers a sensitive and supportive approach. Allowing the client the option to participate in the care of the baby, such as bathing and dressing, respects the individual grieving process.
B. "I'm sure you will be able to have another baby when you’re ready": While the nurse may want to provide hope for the future, this statement might be perceived as minimizing the client's current grief and loss. It's essential to focus on the present and the client's emotions.
C. "You should name the baby so she can have an identity": Naming the baby is a personal choice, and the nurse should avoid directing the client on what they "should" do. Naming the baby can be a meaningful way for some parents to acknowledge the baby's existence and create memories.
D. "If you don’t hold the baby, it will make letting go much harder": Pressuring the client to hold the baby may not be appropriate, as individuals have different coping mechanisms. Some may find comfort in holding and spending time with the baby, while others may need more time before they are ready.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give oxytocin 20 units IV bolus: Oxytocin is a medication used to induce or augment labor, and it is not the appropriate intervention for a client with placenta previa and significant vaginal bleeding. The priority in this situation is to assess and manage the bleeding.
B. Obtain serial hemoglobin and hematocrit: This is the correct action. Placenta previa can lead to significant bleeding, and obtaining serial hemoglobin and hematocrit levels will help monitor the extent of blood loss and guide decisions regarding transfusions or other interventions.
C. Perform a fundal massage: Fundal massage is not the appropriate intervention for placenta previa. In cases of placenta previa, the placenta is covering or near the cervical os, and vigorous fundal massage can worsen bleeding.
D. Assess for abdominal tenderness: While assessing for abdominal tenderness is important in the overall assessment of a pregnant client, in the context of active bleeding with placenta previa, the immediate focus should be on assessing the extent of bleeding and the client's hemodynamic status.
Correct Answer is C
Explanation
A. Epicanthal folds: Epicanthal folds are the skin folds of the upper eyelid covering the inner corner of the eye. These folds are a normal anatomical variation and are not typically related to forceps-assisted births.
B. Depressed anterior fontanel: A depressed fontanel (the soft spot on a baby's head) might indicate dehydration or a potential concern but is not directly associated with forceps use during birth.
C. Facial asymmetry
Forceps-assisted births involve the use of forceps to aid in the delivery of the baby's head. Facial asymmetry can occur as a result of the pressure applied by the forceps during the birth process. This pressure might cause temporary facial bruising or swelling, leading to an asymmetrical appearance, particularly in the immediate post-birth assessment.
D. Uneven gluteal skinfolds: Uneven gluteal skinfolds, which refer to asymmetry in the skinfolds of the buttocks, are not typically linked to forceps use during delivery. This finding might be a normal variation or could indicate other unrelated conditions.
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