A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Provide the client with photos of the fetus.
Inform the client that the law requires them to name the fetus.
Limit the amount of time the fetus is in the client's room.
Instruct the client that an autopsy should be performed within 24 hr.
The Correct Answer is A
Explanation
Choice A Reason:
Providing photos of the stillborn fetus is a sensitive gesture that allows the parents to have tangible memories of their child. However, it should be done with sensitivity and only if the parents express a desire for them.
Choice B Reason:
Informing the client that the law requires them to name the fetus is incorrect. There is no legal requirement to name a stillborn fetus. Naming the fetus is a personal decision that should be left to the parents. Pressuring them to name the fetus may cause additional distress.
Choice C Reason:
Limit the amount of time the fetus is in the client's room. This is not an appropriate action. Allowing the parents time to grieve and bond with their stillborn child is important for their emotional healing process. They should be given the opportunity to spend time with the baby if they desire.
Choice D Reason:
Instructing the client that an autopsy should be performed within 24 hours is incorrect. While autopsies can sometimes provide valuable information about the cause of stillbirth, it is not necessary to perform one within 24 hours. The decision to have an autopsy should be discussed with the parents, and the timing can vary depending on their wishes and circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation.
Choice A Reason:
"My baby will need a car seat challenge test before discharge." This statement is inappropriate. While some preterm infants may require a car seat challenge test before discharge to assess their cardiorespiratory stability while seated in a car seat, this is not a universal requirement for all newborns. The need for a car seat challenge test depends on the infant's gestational age, medical condition, and hospital policies.
Choice B Reason:
"I can use a sleep sack to keep my baby warm in the car seat." This statement is inappropriate. Using a sleep sack or any other bulky clothing or accessories in the car seat is not recommended as it can interfere with the proper harness fit and compromise the safety of the baby. Bulky clothing can compress in a crash, creating space between the baby and the harness, increasing the risk of ejection or injury.
Choice C Reason:
"When my baby is 1 year old, I can turn their car seat facing forward." This statement is inappropriate. Turning the car seat forward-facing at 1 year of age is an outdated guideline. Current recommendations from the American Academy of Pediatrics (AAP) advise keeping infants in rear-facing car seats until they reach the maximum weight or height limit recommended by the car seat manufacturer, which is typically around 2 years of age or older. Rear-facing car seats provide better protection for the baby's head, neck, and spine in the event of a crash compared to forward-facing seats.
Choice D Reason:
"The car seat should be positioned in the car at a 45-degree angle." This statement is appropriate. Positioning the car seat at a 45-degree angle is recommended for newborns and young infants. This angle helps keep the baby's airway open and prevents their head from flopping forward, reducing the risk of breathing difficulties and oxygen desaturation.
Correct Answer is D
Explanation
Explanation
Choice A Reason:
"Limit visitors to your immediate family." This statement is appropriate. While limiting visitors to immediate family members can help control access to the newborn, it may not fully address security concerns. Some hospitals have specific visitor policies in place, but this instruction alone may not cover all aspects of newborn security.
Choice B Reason:
"Send the newborn to the nursery while you are sleeping." This statement is inappropriate. Sending the newborn to the nursery while the parents are sleeping may seem like a security measure, but it can actually increase the risk of infant abduction or mix-ups. Rooming-in with the newborn allows the parents to maintain constant supervision and bonding with their baby, which is important for security.
Choice C Reason:
"Remove your newborn's electronic monitoring band for bathing." This statement is inappropriate. Removing the electronic monitoring band for bathing can disrupt the tracking system used to ensure the newborn's security within the hospital. It's important to keep the monitoring band on the newborn at all times to accurately track their location and prevent unauthorized removal from the maternity unit.
Choice D Reason:
"Check identification badges of staff who enter your room." This statement is appropriate. Maintaining newborn security is crucial in a hospital setting to ensure the safety of the newborn. Instructing parents to check identification badges of staff who enter the room helps verify that only authorized personnel are interacting with the newborn and reduces the risk of unauthorized individuals gaining access to the baby.
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