You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient? (Select onE.:

At least you are young and can have another chilD.

I am so sorry for your loss. My heart hurts for you. Can you tell me a little bit about your baby?

There was probably something wrong and God has a way of taking care of these things.

Don't cry, be strong for your family.

Answer and Explanation

The Correct Answer is B

Choice A: At least you are young and can have another child is not a therapeutic response, as it minimizes the patient's grief and implies that the baby is replaceablE. The nurse should acknowledge the patient's loss and avoid making assumptions or judgments.

Choice B: I am so sorry for your loss. My heart hurts for you. Can you tell me a little bit about your baby? is a therapeutic response, as it expresses empathy and compassion and invites the patient to share their feelings and memories. The nurse should listen actively and respectfully and use the baby's name if the patient has given onE.

Choice C: There was probably something wrong and God has a way of taking care of these things is not a therapeutic response, as it rationalizes the patient's loss and imposes the nurse's religious beliefs. The nurse should respect the patient's spirituality and avoid making statements that may cause guilt or anger.

Choice D: Don't cry, be strong for your family is not a therapeutic response, as it discourages the patient from expressing their emotions and places unrealistic expectations on them. The nurse should support the patient's coping and encourage them to seek help from their family and friends.

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Correct Answer is ["B","C","D","F"]

Explanation

Choice A: Go to break is not an appropriate action, as it can delay the necessary interventions and compromise the fetal well-beinG. The nurse should stay with the mother and monitor the fetal heart rate and the uterine activity continuously.

Choice B: Apply 100% non-rebreather mask is an appropriate action, as it can increase the maternal oxygenation and improve the fetal oxygen delivery. The nurse should place a mask with a reservoir bag over the mother's nose and mouth and adjust the flow rate to 10 to 15 L/min.

Choice C: Give an IV fluid bolus is an appropriate action, as it can increase the maternal blood volume and improve the uterine perfusion. The nurse should administer 500 to 1000 mL of isotonic crystalloid solution rapidly through a large-bore IV catheter.

Choice D: Reposition the mother is an appropriate action, as it can relieve the uterine or cord compression and improve the fetal circulation. The nurse should turn the mother to the left or right lateral position or place her in a knee-chest position.

Choice E: Increase the oxytocin drip is not an appropriate action, as it can increase the uterine contractions and reduce the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

Choice F: Decrease or stop the oxytocin is an appropriate action, as it can decrease the uterine contractions and increase the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

A. Elevated liver function tests B. Unremitting headache C. Rising protein in sequential 24-hour urine D. Increased urine output E. Pain in the left upper quadrant F. BP > 160/110

Correct Answer is ["A","B","C","E","F"]

Explanation

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

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You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient? (Select onE.:

Nursing Test Bank

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Correct Answer is ["B","C","D","F"]

Explanation

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Correct Answer is ["A","B","C","E","F"]

Explanation

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