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

I'm sure you will be able to have another baby when you’re ready

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

Answer and Explanation

The Correct Answer is A

A. "You can bathe and dress your baby if you'd like to": This statement acknowledges the client's autonomy and offers a sensitive and supportive approach. Allowing the client the option to participate in the care of the baby, such as bathing and dressing, respects the individual grieving process.

B. "I'm sure you will be able to have another baby when you’re ready": While the nurse may want to provide hope for the future, this statement might be perceived as minimizing the client's current grief and loss. It's essential to focus on the present and the client's emotions.

C. "You should name the baby so she can have an identity": Naming the baby is a personal choice, and the nurse should avoid directing the client on what they "should" do. Naming the baby can be a meaningful way for some parents to acknowledge the baby's existence and create memories.

D. "If you don’t hold the baby, it will make letting go much harder": Pressuring the client to hold the baby may not be appropriate, as individuals have different coping mechanisms. Some may find comfort in holding and spending time with the baby, while others may need more time before they are ready.

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Correct Answer is B

Explanation

A. Plan to administer ephedrine IV: Ephedrine is a medication commonly used to treat hypotension. While addressing hypotension may be necessary in the management of AFE, the priority is to initiate immediate life-saving measures, such as CPR.

B. Prepare to initiate cardiopulmonary resuscitation: This is the correct answer. In the event of AFE, the client may experience sudden cardiovascular collapse and respiratory distress. Prompt initiation of CPR is crucial to support vital functions and improve the chances of survival.

C. Assist the client to empty their bladder: While assisting the client to empty the bladder is a routine measure, it is not the priority in the management of AFE. Immediate attention to the life-threatening complications is necessary.

D. Assess the presence of clonus: Clonus refers to a series of involuntary, rhythmic, muscular contractions and relaxations. While neurological signs may be assessed in the overall evaluation of a client, it is not the priority in the acute management of AFE.

A. Transient strabismus B. Respiratory rate 70/min C. Continuous high-pitched cry D. Regurgitation E. Loose stools

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Transient strabismus:

Interpretation: Unrelated to diagnosis

Explanation: Transient strabismus (crossed eyes) is not necessarily related to the maternal history of opioid use or precipitous birth. It is a common finding in newborns and often resolves on its own without intervention.

Respiratory rate 70/min:

Interpretation: Sign of potential worsening condition

Explanation: A respiratory rate of 70/min in a newborn is higher than the normal range (30-60 breaths per minute). This could indicate respiratory distress, infection, or other complications, requiring further assessment.

Continuous high-pitched cry:

Interpretation: Sign of potential worsening condition

Explanation: A continuous high-pitched cry can be a sign of potential distress or discomfort in a newborn. It may be associated with various conditions, including withdrawal symptoms related to maternal opioid use during pregnancy. This finding warrants further assessment.

Regurgitation:

Interpretation: Unrelated to diagnosis

Explanation: Regurgitation (spitting up) is a common occurrence in newborns and is not necessarily related to the maternal history of opioid use. It is often a normal physiological process in infants.

Loose stools:

Interpretation: Unrelated to diagnosis

Explanation: Loose stools can be a normal finding in newborns and may not be directly related to the maternal history of opioid use. It is not necessarily indicative of a worsening condition in this context.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing an amniotic fluid embolism during labor. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

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