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 should name the baby so she can have an identity.”

"If you don't hold the baby, it will make letting go much harder.”

"I'm sure you will be able to have another baby when you're ready.”

"You can bathe and dress your baby if you'd like to.”

Answer and Explanation

The Correct Answer is D

A nurse caring for a client following a vaginal delivery of a term fetal demise should oﬀer the client the option to bathe and dress their baby if they would like to.

Choice A is incorrect because it is not appropriate for the nurse to suggest that the client should name the baby.

Choice B is incorrect because it is not appropriate for the nurse to suggest that not holding the baby will make letting go much harder.

Choice C is incorrect because it is not appropriate for the nurse to make assumptions about future pregnancies.

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Correct Answer is B

Explanation

Congenital CMV can cause birth defects and other long-term health problems such as hearing loss.

Hearing loss may be present at birth or may develop later in babies who passed their newborn hearing test.

Choice A is incorrect because cataracts are not mentioned as a symptom of congenital CMV.

Choice C is incorrect because urinary tract infection is not mentioned as a symptom of congenital CMV.

Choice D is incorrect because macrosomia is not mentioned as a symptom of congenital CMV.

A. Prepare for surgical closure after 72 hr. B. Administer broad-spectrum antibiotics. C. Cleanse the site with povidone-iodine. D. Monitor the rectal temperature every 4 hr.

Correct Answer is B

Explanation

The correct answer is. Administering broad-spectrum antibiotics.

Cleansing the site with povidone-iodine is not recommended because it can be irritating and potentially harmful to the exposed neural tissue.

Monitoring the rectal temperature every 4 hours is not appropriate as it can increase the risk of infection and trauma to the site. Axillary temperature monitoring is preferred.

Preparing for surgical closure after 72 hours is incorrect. Surgical closure is typically performed within the first 24 to 48 hours to prevent infection and further damage to the neural tissue.

Administering broad-spectrum antibiotics is crucial to prevent infection, especially since the cerebrospinal fluid is leaking, which increases the risk of meningitis and other infections.

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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?

Nursing Test Bank

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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?