Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

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.

Choice A: Administering saline drops into the newborn's nares is not the first action, as it can cause aspiration and irritation of the nasal mucosA. The nurse should clear the airway of the newborn before administering any medication or fluiD.

Choice B: Suctioning the newborn's mouth first and then the nose with a bulb syringe is the first and most important action, as it can remove the excess mucus and prevent obstruction and aspiration of the airway. The nurse should squeeze the bulb syringe before inserting it into the mouth or nose and release it gently to create suction. The nurse should suction the mouth before the nose to avoid pushing the mucus back into the throat.

Choice C: Placing the newborn in Trendelenburg position is not an appropriate action, as it can cause the mucus to flow back into the throat and lungs and increase the risk of aspiration and infection. The nurse should keep the newborn's head slightly lower than the chest to facilitate the drainage of the mucus.

Choice D: Performing deep suctioning of the newborn's trachea with an endotracheal tube is not an appropriate action, as it can cause trauma and inflammation of the trachea and vocal cords and increase the risk of bleeding and infection. The nurse should only perform this action if the newborn has signs of respiratory distress or meconium aspiration and under the supervision of a provider.