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.”.

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

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

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Offering the parents the opportunity to bathe and dress their baby can provide a sense of normalcy and closure.
Choice B rationale:
This statement assumes the client wants to have another baby and that they will be able to do so, which may not be the case.
Choice C rationale:
It’s important to allow the parents to grieve in their own way. Some may find holding the baby helpful, while others may not.
Choice D rationale:
While naming the baby can provide an identity, it should be the parents’ decision.

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Correct Answer is C

Explanation

Choice A rationale:
Report of perineal pain as 0 on a scale of 0 to 10 is not an indication that the IV bolus was effective. It could be related to the spinal anesthesia, not the IV fluid administration.
Choice B rationale:
Increased urinary output is not a direct indication that the IV bolus was effective. It could be related to other factors such as fluid balance or kidney function.
Choice C rationale:
A blood pressure of 110/70 mm Hg is within the normal range and indicates that the IV bolus was effective in preventing hypotension, which can occur with spinal anesthesia.
Choice D rationale:
Report of relief of pruritus is not an indication that the IV bolus was effective. It could be related to other factors such as medication administration or resolution of an allergic reaction.

A. Previous delivery at 37 weeks gestation. B. Previous cervical cerclage. C. Previous reactive non-stress test. D. Previous delivery of a newborn weighing 2.5 kg (5.5 Ib).

Correct Answer is B

Explanation

Choice A rationale:
A previous delivery at 37 weeks gestation is considered full term, not a risk factor for preterm delivery.
Choice B rationale:
A previous cervical cerclage indicates a history of cervical insufficiency, which is a risk factor for preterm delivery.
Choice C rationale:
A previous reactive non-stress test is a positive sign of fetal well-being, not a risk factor for preterm delivery.
Choice D rationale:
A previous delivery of a newborn weighing 2.5 kg (5.5 Ib) is within the normal range, not a risk factor for preterm delivery.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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