When assisting the mother, father, and other family members to actualize the loss of an infant, which action is most helpful?

Using the words lost or gone rather than dead or died.

Setting a firm time for ending the visit with the baby so that the parents know when to let go

Encouraging the family not to give the baby a name

Ensuring the baby is clothed or wrapped if the parents choose to visit with the baby

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect, as it is not helpful to use euphemisms or avoid the words dead or died when talking about the loss of an infant. Using the words lost or gone can imply that the baby is not really dead, or that the baby can be found or returned, which can create confusion and denial in the family. Using the words dead or died can help the family to acknowledge and accept the reality of the loss, and to express their grief and emotions.

Choice B reason: This statement is incorrect, as it is not helpful to set a firm time for ending the visit with the baby, as it can make the parents feel rushed, pressured, or controlled. Setting a firm time for ending the visit can interfere with the parents' natural process of saying goodbye to the baby, and can prevent them from creating memories and bonding with the baby. The parents should be allowed to decide how long they want to spend with the baby, and to end the visit when they are ready.

Choice C reason: This statement is incorrect, as it is not helpful to encourage the family not to give the baby a name, as it can make the baby seem less real, less important, or less valued. Encouraging the family not to give the baby a name can deny the family's right to recognize and honor the baby as a person, and to establish a relationship and an identity with the baby. The family should be supported to give the baby a name, and to use the name when referring to the baby.

Choice D reason: This statement is correct, as it is helpful to ensure the baby is clothed or wrapped if the parents choose to visit with the baby, as it can make the baby look more comfortable, warm, and human. Ensuring the baby is clothed or wrapped can facilitate the parents' physical contact and interaction with the baby, and can enhance the parents' perception and memory of the baby. The parents should be offered to choose the clothing or the blanket for the baby, and to keep them as mementos.

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Correct Answer is D

Explanation

Choice A reason: Hypocalcemia is not the priority focus of care, as it is a low level of calcium in the blood that can cause muscle twitching, seizures, or cardiac arrhythmias. Hypocalcemia can affect newborns who have mothers with diabetes mellitus, but it is less common and less severe than hypoglycemia.

Choice B reason: Hyperbilirubinemia is not the priority focus of care, as it is a high level of bilirubin in the blood that can cause jaundice, a yellowish discoloration of the skin and eyes. Hyperbilirubinemia can affect newborns who have macrosomia, but it is usually a benign and self-limiting condition that resolves within a few days.

Choice C reason: Hypomagnesemia is not the priority focus of care, as it is a low level of magnesium in the blood that can cause tremors, tetany, or seizures. Hypomagnesemia can affect newborns who have mothers with diabetes mellitus, but it is rare and usually asymptomatic.

Choice D reason: Hypoglycemia is the priority focus of care, as it is a low level of glucose in the blood that can cause diaphoresis, jitteriness, lethargy, or apnea. Hypoglycemia can affect newborns who have macrosomia and mothers with diabetes mellitus, as they have increased insulin production and decreased glucose supply after birth. Hypoglycemia can lead to brain damage or death if not treated promptly.

A. Respiratory rate B. Bowel sounds C. Time of last food intake D. Temperature

Correct Answer is A

Explanation

Choice A reason: Respiratory rate is the priority nursing assessment for this client, because magnesium sulfate can cause respiratory depression, which is a life-threatening complication. The nurse should monitor the client's respiratory rate closely, and discontinue the infusion if it falls below 12 breaths per minute.

Choice B reason: Bowel sounds is not a priority nursing assessment for this client, because magnesium sulfate does not have a significant effect on the gastrointestinal system. The nurse should assess the client's bowel sounds as part of the routine physical examination, but it is not a critical parameter for this medication.

Choice C reason: Time of last food intake is not a priority nursing assessment for this client, because magnesium sulfate does not interact with food or affect the absorption of nutrients. The nurse should inquire about the client's dietary intake and preferences, but it is not a vital factor for this medication.

Choice D reason: Temperature is not a priority nursing assessment for this client, because magnesium sulfate does not cause fever or hypothermia. The nurse should measure the client's temperature as part of the vital signs, but it is not a key indicator for this medication.

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When assisting the mother, father, and other family members to actualize the loss of an infant, which action is most helpful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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