A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
"You can bathe and dress your baby if you'd like to."
"You should name the baby so she can have an identity."
"I'm sure you will be able to have another baby when you're ready."
"If you don't hold the baby, it will make letting go much harder."
The Correct Answer is A
A. "You can bathe and dress your baby if you'd like to."
This statement gives the client the option to spend time with their baby if they wish to do so. It respects the client's autonomy and choice in how they want to handle this difficult situation.
B. Telling the client to name the baby may put unnecessary pressure on them during a challenging time.
C. Assuring the client that they can have another baby in the future might not be comforting at this moment, as they are grieving the loss of their current pregnancy.
D. Pressuring the client to hold the baby may not be appropriate, as everyone's grief process is different, and the client should be allowed to make their own choices regarding physical contact with the baby.
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Related Questions
Correct Answer is A
Explanation
A. Covering the exposed umbilical cord with a sterile, warm, saline-soaked towel helps prevent compression and drying of the cord. This can temporarily relieve pressure on the cord until more definitive interventions, such as a cesarean section, can be performed.
B. Administering oxygen via a nonrebreather mask is important but is not the first action to take. It should be done after covering the cord and ensuring adequate oxygenation for both the mother and the fetus.
C. Initiating an IV infusion is also important but not the first priority when there is a prolapsed cord. The priority is to relieve cord compression and restore fetal oxygenation.
D. Performing a vaginal examination by applying upward pressure on the presenting part can be harmful in this situation as it may push the presenting part further down and worsen cord compression. It should not be performed until the cord is covered and the situation is stabilized.
Correct Answer is C
Explanation
A. Scant lochia: Endometritis can cause increased lochia (vaginal discharge) that may be foul-smelling.
B. WBC count 9,000/mm3: An elevated white blood cell (WBC) count is usually seen in cases of infection, so this finding doesn't rule out endometritis.
C. Uterine tenderness: Endometritis is an infection of the uterine lining, which often results in uterine tenderness or pain.
D. Temperature 37.4°C (99.3°F): Although a slightly elevated temperature might be seen in endometritis, a higher fever is more common.
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