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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?

A.

you can bathe and dress your baby if you'd like to

B.

I'm sure you will be able to have another baby when you’re ready

C.

You should name the baby so she can have an identity

D.

If you don’t hold the baby, it will make letting go much harder

Answer and Explanation

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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Related Questions

Correct Answer is D

Explanation

A. Restrict daily oral fluid intake: Restricting oral fluid intake is not generally recommended unless there is a specific medical indication. Adequate hydration is important, especially postpartum, and fluid restriction may not be appropriate unless there are specific reasons to do so.

B. Administer an IV bolus of lactated Ringer’s: In a client with preeclampsia without severe features, intravenous fluid bolus administration is not the primary intervention. Fluid management is important, but it is typically done judiciously based on the client's specific needs, not as a routine IV bolus.

C. Obtain a prescription for misoprostol: Misoprostol is a medication that is sometimes used to prevent or treat postpartum hemorrhage but is not a routine intervention for a client with preeclampsia without severe features. The focus in preeclampsia management is on blood pressure control and monitoring for signs of worsening disease.

D. Assess for edema: This is the correct action. Assessing for edema is an important component of monitoring a client with preeclampsia. While edema is a common symptom in pregnancy, excessive or sudden-onset edema may be an indication of worsening preeclampsia.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

a. Muscle tone: flaccid Interpretation: This finding suggests a lack of muscle tone, which could be concerning. It may indicate a neurological issue or possible birth trauma. Interpretation: Indication that the client's condition is worsening. b. Respiration effort: good cry Interpretation: A good cry indicates that the newborn is able to breathe properly and is responsive. Interpretation: Indication that the client's condition is improving. c. Reflex irritability: cry Interpretation: The newborn's ability to cry in response to stimuli is a positive sign of reflex irritability and neurological function. Interpretation: Indication that the client's condition is improving. d. Color consistent with genetic background Interpretation: This suggests that the newborn's skin color is within the range typical for their genetic background. Interpretation: Unrelated to the diagnosis. e. Heart rate 140/min Interpretation: A heart rate of 140 beats per minute is within the normal range for a newborn. Interpretation: Unrelated to the diagnosis. f. Axillary temperature 36.3°C (97.4°F) Interpretation: A temperature of 36.3°C (97.4°F) is within the normal range for a newborn. Interpretation: Unrelated to the diagnosis.

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