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 ["A","B","C","D","E"]
Explanation
Choice A rationale
Vaginal bleeding is a key sign of placenta abruption due to separation from the uterine wall disrupting blood vessels.
Choice B rationale
Abdominal pain occurs as the placenta detaches, causing uterine muscle irritation and potential contractions.
Choice C rationale
Uterine tenderness results from inflammation and bleeding within the uterine wall at the site of abruption.
Choice D rationale
Fetal distress signals reduced oxygen supply due to compromised blood flow from the placenta to the fetus.
Choice E rationale
Back pain is common as the detachment and bleeding irritate the surrounding muscles and ligaments.
Correct Answer is B
Explanation
Choice A rationale
Blood glucose level changes are unrelated to hyperbilirubinemia and phototherapy, which specifically target bilirubin metabolism in the newborn's liver and skin.
Choice B rationale
A decrease in transcutaneous bilirubin (TcB) levels shows effective phototherapy, as it converts bilirubin into water-soluble isomers that can be excreted.
Choice C rationale
Skin color changes from yellow to normal indicate reduced bilirubin levels, but the most accurate measure of phototherapy efficacy is the decrease in TcB levels.
Choice D rationale
Weight gain is not an indicator of effective phototherapy; it reflects overall nutrition and hydration status rather than bilirubin metabolism and excretion.
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