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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the correct finding because it indicates a possible uterine rupture, which is a complication of placental abruption, not placenta previA. Placental abruption is the premature separation of the placenta from the uterine wall, which can cause severe pain, bleeding, and fetal distress.
Choice B reason: This is the correct finding because it indicates a possible placenta previa, which is the implantation of the placenta over or near the cervical os. Placenta previa can cause painless bleeding that increases as the cervix dilates and effaces.
Choice C reason: This is not the correct finding because it indicates a possible onset of labor, which is not a complication of placenta previA. Labor can cause contractions, bloody show, and cervical changes, but it does not cause excessive bleeding or pain.
Choice D reason: This is not the correct finding because it indicates a possible marginal placenta previa, which is a less severe form of placenta previa that does not cover the cervical os. Marginal placenta previa can cause mild bleeding and pain, but it is not as dangerous as a complete or partial placenta previA.
Correct Answer is A
Explanation
Choice B. Report the client's temperature elevation is incorrect. The client's temperature is within the normal range for a postpartum woman, which can be slightly elevated due to dehydration, increased metabolism, or breast engorgement. A fever of 38°C (100.4°F. or higher could indicate an infection and should be reporteD.
Choice C. Increase IV fluids is incorrect. The client does not have signs of hypovolemia or dehydration that would require increased IV fluids. Excessive fluid administration can cause fluid overload and pulmonary edema in postpartum women.
Choice D. Encourage the client to nurse more frequently so her milk will come in is incorrect. The client's breasts are soft, which indicates that her milk has not come in yet. Nursing more frequently will stimulate milk production, but it will not help with the current problem of uterine atony and hemorrhagE. The nurse should massage the fundus and administer oxytocin as prescribed to enhance uterine contraction.
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