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. I will receive a series of three immunizations, and each one will be a month apart: This statement is not accurate for rubella immunization. The MMR vaccine is usually administered as a single injection.
B. I should avoid becoming pregnant for at least 1 month following the immunization
Rubella immunization is typically administered as the measles, mumps, and rubella (MMR) vaccine. The statement indicating understanding reflects awareness of the importance of avoiding pregnancy for a certain period after receiving the rubella immunization due to potential risks to the developing fetus.
C. I should avoid breastfeeding for 2 weeks following the immunization: Breastfeeding is not a contraindication after receiving the rubella immunization. In fact, breastfeeding is generally not affected, and mothers can continue to breastfeed.
D. I will report joint pain that develops after the immunization to my provider immediately: Joint pain is a potential side effect of the rubella vaccine. Reporting joint pain to the provider is essential for monitoring and addressing any adverse reactions.
Correct Answer is C
Explanation
A. Subcutaneous in the left vastus lateralis: Phytonadione is usually administered IM, not subcutaneously. The vastus lateralis muscle in the thigh is a common site for IM injections in newborns.
B. IM in the right deltoid: The deltoid muscle in the upper arm is not typically the recommended site for administering medications to newborns. The vastus lateralis muscle in the thigh is preferred for newborn IM injections due to better muscle development and blood flow.
C. IM in the left vastus lateralis: This is the correct option. Phytonadione, or Vitamin K, is routinely given to newborns to prevent vitamin K deficiency bleeding (VKDB). It's administered as an IM injection into the vastus lateralis muscle in the thigh, which is a standard practice for newborn vitamin K administration.
D. Subcutaneous in the right deltoid: Subcutaneous administration in the deltoid is not typically used for newborns, especially for medications like phytonadione that are commonly administered IM.
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