A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse’s initial action?
Contact spiritual support services.
Provide information about an autopsy.
Discuss neonatal resuscitation options.
Get in touch with the organ donation organization.
The Correct Answer is A
Choice A rationale
In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse’s initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.
Choice B rationale
While providing information about an autopsy might be necessary at some point, it should not be the initial action. The first response should be focused on providing emotional support.
Choice C rationale
Discussing neonatal resuscitation options might not be appropriate in this scenario, especially if it’s not expected that the fetus will survive. The initial focus should be on providing emotional support.
Choice D rationale
Contacting the organ donation organization is not the initial action to take in this situation. The first response should be providing emotional and spiritual support to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["300"]
Explanation
Step 1:
4 grams ÷ 20 grams × 500 mL = 100 mL
Step 2:
100 mL ÷ 20 minutes × 60 minutes/hour = 300 mL/hour
Answer:
300 mL/hour
Correct Answer is A
Explanation
Choice A rationale
A pudendal block is a type of anesthesia that results in a loss of sensation confined to the vagina and perineum. It’s often used during the second stage of labor or for episiotomy repair.
Choice B rationale
A paracervical block provides anesthesia to the cervix and the lower part of the uterus, but it does not specifically target the vagina and perineum.
Choice C rationale
An epidural block provides a band of numbness from the bellybutton to the upper legs, allowing the patient to be awake and alert throughout labor. It’s not confined to the vagina and perineum.
Choice D rationale
A saddle block is a type of spinal anesthesia that numbs the inner thighs, buttocks, and area around the rectum (the “saddle” area), but it’s not confined to the vagina and perineum.
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