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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the client in a semi-Fowler's position for the after administration: The position of the client during or after administration of dinoprostone (a prostaglandin used for cervical ripening and labor induction) is not typically specified as semi-Fowler's position. The provider may have preferences regarding the positioning, but this is not a general guideline.
B. Allow the medication to reach room temperature prior to administration: There is no specific requirement to allow dinoprostone to reach room temperature before administration. It is typically administered according to the manufacturer's guidelines and the provider's instructions.
C. Instruct the client to avoid urinary elimination until after administration: There is no need to restrict urinary elimination before or after the administration of dinoprostone. In fact, encouraging the client to empty their bladder before administration is often recommended to improve comfort.
D. Verify that informed consent is obtained prior to administration: This is a critical action. Before administering any medication or procedure, the nurse should ensure that the client has provided informed consent. This involves explaining the purpose, risks, benefits, and alternatives of the procedure or medication, and obtaining the client's voluntary agreement.
Correct Answer is C
Explanation
A. Move the client onto their hands and knees: This position is often used for the Gaskin maneuver, which involves positioning the mother on all fours to help resolve shoulder dystocia. However, the McRoberts maneuver specifically requires hyperflexing the legs toward the abdomen.
B. Press firmly on the client’s suprapubic area: This action is not part of the McRoberts maneuver. It is not the recommended technique for resolving shoulder dystocia.
C. Assist the client in pulling their knees toward their abdomen
The McRoberts maneuver involves hyperflexing the mother's legs toward her abdomen to widen the pelvic outlet. This repositions the pelvis, which can assist in dislodging the impacted shoulder of the baby during a shoulder dystocia.
D. Apply pressure to the client’s fundus: Applying pressure to the fundus can sometimes be used in other obstetric emergencies but is not part of the McRoberts maneuver for shoulder dystocia.
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