A nurse is caring for a client who is grieving the loss of their newborn. Which of the following interventions should the nurse include in the plan of care?
Explain that the newborn is no longer in pain to facilitate grieving.
Share the nurse’s own experiences and feelings to facilitate grieving.
Avoid calling the newborn by their name to facilitate grieving.
Allow the client to hold or be with their newborn to facilitate grief.
The Correct Answer is D
Choice A rationale
Explaining that the newborn is no longer in pain may not facilitate grieving, as it does not acknowledge the emotional connection and grief the parents are experiencing.
Choice B rationale
Sharing the nurse's own experiences and feelings may shift the focus away from the client's emotions, potentially hindering their grieving process.
Choice C rationale
Avoiding calling the newborn by their name can create a sense of detachment and may prevent the client from fully processing their grief.
Choice D rationale
Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.
Choice B rationale
The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.
Choice C rationale
Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.
Choice D rationale
Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.
NGN QUESTIONS
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
The temperature of 36.7°C (98.1°F) is within the normal range for newborns (36.5-37.5°C). Therefore, it does not require immediate follow-up.
Choice B rationale:
The respiratory rate of 74/min exceeds the normal range for newborns (30-60 breaths/min), indicating potential respiratory distress. Immediate follow-up is crucial to prevent respiratory failure.
Choice C rationale:
The heart rate of 170/min is above the normal range for newborns (120-160 beats/min). Tachycardia can indicate stress, infection, or other underlying conditions that need prompt evaluation.
Choice D rationale:
Work of breathing includes signs such as retractions, nasal flaring, and grunting, which indicate respiratory distress. These signs require immediate follow-up to address any potential respiratory complications.
Choice E
rationale: Blood glucose level is not mentioned in the question or exhibits. Without information on blood glucose, it is not possible to determine if it requires immediate follow-up.
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