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 A

Explanation

Choice A reason: Correct. Naegele’s Rule adds 1 year, subtracts 3 months, and adds 7 days to the LMP. May 4 → February 11.

Choice B reason: Incorrect. April 27 is too late; it suggests nearly 12 months of gestation, which exceeds the standard 280-day pregnancy.

Choice C reason: Incorrect. February 27 overshoots the EDD by 16 days. It doesn’t follow Naegele’s precise calculation.

Choice D reason: Incorrect. April 11 is far beyond the expected delivery window and reflects a miscalculation of gestational length.

A. Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimulI. B. Use only pharmacological agents for withdrawal. C. Keep the baby and mother together, promoting bonding and providing support and resources for dischargE. D. Separate the baby from the mother and tell the social worker to contact child protection services.

Correct Answer is C

Explanation

Choice A: Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimuli is not a correct option, as it contradicts the evidence-based practice of providing a calm and quiet environment for the neonate with neonatal abstinence syndromE. Music and cuddler therapy can help soothe the neonate and reduce the need for pharmacological agents.

Choice B: Use only pharmacological agents for withdrawal is not a correct option, as it ignores the non-pharmacological interventions that can help the neonate with neonatal abstinence syndromE. Non-pharmacological interventions include swaddling, breastfeeding, skin-to-skin contact, and rooming-in with the mother.

Choice C: Keep the baby and mother together, promoting bonding and providing support and resources for discharge is the correct option, as it supports the family-centered care and the recovery of the mother and the neonate with neonatal abstinence syndromE. Keeping the baby and mother together can improve the maternal-infant attachment, facilitate breastfeeding, and reduce the length of hospital stay and the need for pharmacological agents.

Choice D: Separate the baby from the mother and tell the social worker to contact child protection services is not a correct option, as it violates the ethical and legal principles of nursing practice and the rights of the mother and the neonate with neonatal abstinence syndromE. Separating the baby from the mother can increase the stress and anxiety of both parties and interfere with the bonding and breastfeedinG. The nurse should collaborate with the social worker and other health care professionals to provide a safe and supportive environment for the mother and the neonatE.

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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.:

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