A client at 36 weeks gestation has just delivered a stillborn baby. What should the nurse say?
“You may hold your baby as long as you want.”.
“This is for the best. Your baby was very ill.”.
“I understand your grief. I lost a baby also.”.
“I have called for the chaplain to come and stay with you.”.
The Correct Answer is A
Choice A rationale
Offering the parent the opportunity to hold their stillborn baby can be a crucial part of the grieving process. It allows the parent to acknowledge the reality of the loss and begin to say goodbye.
Choice B rationale
Telling a grieving parent that “this is for the best” can be perceived as dismissive and insensitive. It’s important to validate the parent’s feelings of loss and grief.
Choice C rationale
Sharing personal experiences of loss can shift the focus away from the grieving parent. It’s more helpful to provide empathetic support and allow the parent to share their feelings.
Choice D rationale
While spiritual support can be helpful for some, it’s not appropriate to assume that every parent will want this. It’s better to ask the parent if they would like to speak with a chaplain or other spiritual advisor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Vomiting is not a common side effect of epidural anesthesia. Nausea can occur, but it is usually associated with the opioids used in the epidural, not the epidural itself.
Choice B rationale
Tachycardia, or a rapid heart rate, is not a typical side effect of epidural anesthesia. In fact, an epidural can sometimes cause a drop in heart rate, known as bradycardia.
Choice C rationale
Hypotension, or low blood pressure, is a common side effect of epidural anesthesia. The medication used in the epidural can cause blood vessels to relax, which can lower blood pressure.
Choice D rationale
Respiratory depression is not a common side effect of epidural anesthesia. The medication used in an epidural primarily affects the nerves in the lower body, so it does not typically impact breathing. Digoxin Digoxin Explore
Correct Answer is C
Explanation
Choice C rationale
The apex of the heart is the most appropriate site to assess an infant’s heart rate. In infants, the apical pulse provides the most accurate assessment of heart rate. The apical pulse is located at the fifth intercostal space at the midclavicular line.
Choice A rationale
The carotid artery is not typically used to assess an infant’s heart rate. This site is more commonly used in adults and older children.
Choice B rationale
The brachial artery can be used to assess an infant’s heart rate, but it is typically used for blood pressure measurements rather than heart rate assessments.
Choice D rationale
The radial artery is not typically used to assess an infant’s heart rate. This site is more commonly used in adults and older children.
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