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 C
Explanation
Choice A rationale
This client's vital signs are within normal ranges for 32 weeks of gestation. A category I fetal heart tracing indicates normality, suggesting no immediate need for an emergent cesarean section.
Choice B rationale
A fetal demise at 39 weeks of gestation does not necessitate an emergent cesarean section, as the fetus is no longer viable, and other delivery methods can be considered based on the mother's condition.
Choice C rationale
Hemorrhaging at 38 weeks with a fetal demise and cervix dilated at 4 cm indicates a medical emergency. Rapid intervention, including a cesarean section, is necessary to control bleeding and protect the mother’s life.
Choice D rationale
Normal vital signs and a category I fetal heart tracing with cervical dilation at 3 cm at 37 weeks indicate no immediate need for an emergent cesarean section, as labor can proceed naturally under observation.
Correct Answer is B
Explanation
Choice A rationale
Postmaturity syndrome occurs in pregnancies that extend beyond 42 weeks, not in cases of premature labor.
Choice B rationale
Premature labor can increase the risk of neonatal infections due to the underdeveloped immune system of preterm infants.
Choice C rationale
Macrosomia refers to a large newborn, typically associated with prolonged pregnancies, not premature labor.
Choice D rationale
Maternal hypertension can lead to premature labor, but premature labor does not increase the risk of developing maternal hypertension.
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